Organization
PROFESSIONAL REHAB ORTHO LABS INC
Active
Other names
PROLABS O&P
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY WAYNE HYMAN CERTIFIED ORTHOTIST (CO-OWNER)
(954) 721-7301
Entity
Organization
Contact information
Practice address
8401 W MCNAB RD, TAMARAC, FL 33321-3207
(954) 721-7301
(954) 721-7453
Mailing address
8401 W MCNAB RD, TAMARAC, FL 33321-3207
(954) 721-7301
(954) 721-7453
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1044574
CAREPLUS
FL
01
—
R8837
BC BS OF FLORIDA
FL
Enumeration date
10/22/2006
Last updated
08/22/2020
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