Organization
FENTON BRACE & LIMB CO., INC.
Active
Other names
Fenton Orthotics & Prosthetics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES FENTON L.P.O. (PRESIDENT)
(305) 274-7557
Entity
Organization
Contact information
Practice address
4151 N ANDREWS AVE, FORT LAUDERDALE, FL 33309-4745
(954) 584-5434
(954) 967-0800
Mailing address
8740 N KENDALL DR, SUITE 112, MIAMI, FL 33176-2212
(305) 274-7557
(305) 274-1316
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023171
UHC
FL
01
—
M0049
BCBS
FL
Enumeration date
12/06/2006
Last updated
08/22/2020
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