Organization
ABC PROSTHETICS AND ORTHOTICS DP OCOEE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY M HARRIGAN (BILLING MANGER)
(407) 341-5873
Entity
Organization
Contact information
Practice address
10131 W COLONIAL DR, UNIT 1, OCOEE, FL 34761-4221
(407) 523-0495
(407) 522-5078
Mailing address
10131 W COLONIAL DR, UNIT 1, OCOEE, FL 34761-4221
(407) 523-0495
(407) 522-5078
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
POR41
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M2591
BLUE CROSS BLUE SHIELD
FL
Enumeration date
11/18/2005
Last updated
08/22/2020
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