Organization
TREASURE COAST PROSTHETICS & ORTHOTICS SERVICES, INC.
Active
Other names
Treasure Coast Prosthetic & Orthotic Services, Inc/
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE W BUFFINGTON C.P.O. (PRESIDENT)
(772) 567-5200
Entity
Organization
Contact information
Practice address
1645 20TH ST, VERO BEACH, FL 32960-3565
(772) 567-5200
(772) 567-0160
Mailing address
1645 20TH ST, VERO BEACH, FL 32960-3565
(772) 567-5200
(772) 567-0160
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027494100
—
FL
01
—
M0348
BLUE SHIELD PROVIDER NO.
FL
Enumeration date
06/01/2005
Last updated
02/27/2008
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