Organization
PERFORMANCE PROSTHETICS & ORTHOTICS
Active
Other names
Performance Prosthetics & Orthotics
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT DAVID COOPER (OFFICE MANAGER)
(850) 607-6126
Entity
Organization
Contact information
Practice address
4304 N DAVIS HWY STE B, PENSACOLA, FL 32503-2754
(850) 607-6126
(850) 607-6674
Mailing address
4304 N DAVIS HWY STE B, PENSACOLA, FL 32503-2754
(850) 607-6126
(850) 607-6674
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
POR 145
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002681100
—
FL
Enumeration date
05/12/2010
Last updated
04/09/2024
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