Organization
ORTHOTIC & PROSTHETIC CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA GELAZNIK (DIRECTOR OF FINANCE & OPERATIONS)
(727) 498-1003
Entity
Organization
Contact information
Practice address
9808 MILLWOOD CIR STE A, DAPHNE, AL 36527-5455
(727) 327-3332
(727) 327-7304
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
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250827
—
AL
Enumeration date
09/05/2019
Last updated
11/16/2022
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