Organization
ORTHOTIC & PROSTHETIC CENTERS, INC.
Active
Other names
ORTHOTIC & PROSTHETIC CENTER OF PORT ST LUCIE
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA GELAZNIK (DIRECTOR OF FINANCE & OPERATIONS)
(727) 498-1003
Entity
Organization
Contact information
Practice address
1781 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5479
(772) 249-3033
(772) 448-8379
Mailing address
3611 5TH AVE N, ST PETERSBURG, FL 33713-7503
(727) 327-3332
(727) 327-7304
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
FL
332BC3200X
Customized Equipment (DME)
—
FL
335E00000X
Prosthetic/Orthotic Supplier
Primary
POR 101
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016782400
—
FL
Enumeration date
05/05/2014
Last updated
11/16/2022
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