Organization
MAHNKE'S ORTHOTICS & PROSTHETICS OF DEERFIELD INC
Active
Parent organization
MAHNKE'S ORTHOTICS & PROSTHETICS OF DEERFIELD INC
Other names
MAHNKE'S ORTHOTICS & PROSTHETICS OF DEERFIELD INC, Mahnke's Orthotics & Prosthetics
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAHNKE'S ORTHOTICS & PROSTHETICS OF DEERFIELD INC
Authorized official
SILVIO ANDRES MARTINEZ LPO, CPO (PRESIDENT)
(786) 360-5514
Entity
Organization
Contact information
Practice address
4208 N 31ST AVE STE 2, HOLLYWOOD, FL 33021-2002
(786) 360-5514
(786) 536-5693
Mailing address
4990 SW 72ND AVE STE 107, MIAMI, FL 33155-5524
(786) 360-5514
(786) 536-5693
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022580600
—
FL
Enumeration date
06/04/2020
Last updated
04/30/2021
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