Organization
FLORIDA O & P SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW PRIESTLY BAILEY C.P.O. (PRESIDENT)
(904) 737-7755
Entity
Organization
Contact information
Practice address
3636 UNIVERSITY BLVD S, SUITE B10, JACKSONVILLE, FL 32216-4250
(904) 737-7755
(904) 737-7962
Mailing address
3636 UNIVERSITY BLVD S, SUITE B10, JACKSONVILLE, FL 32216-4250
(904) 737-7755
(904) 737-7962
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
POR46
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021692500
—
FL
01
—
5065567
AETNA PROVIDER NUMBER
FL
01
—
M2430
BCBS PROVIDER NUMBER
FL
Enumeration date
07/02/2006
Last updated
08/12/2020
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