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Organization

PROSTHETIC & ORTHOTIC SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MORRIS G GALLO LPO (DIRECTOR)
(941) 486-4200
Entity
Organization

Contact information

Practice address
256 NOKOMIS AVE S, STE 4, VENICE, FL 34285-2357
(941) 486-4200
(941) 486-9300
Mailing address
PO BOX 1521, VENICE, FL 34284
(941) 486-4200
(941) 486-9300

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
POR 6
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
82649
NORTHWOOD-NPN
FL
01
M2769
BC-BS
FL
Enumeration date
04/24/2007
Last updated
08/22/2020
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