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Organization

TREASURE COAST PROSTHETICS & ORTHOTICS SERVICES, INC.

Active
Other names
Treasure Coast Prosthetic & Orthotic Services
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRUCE W BUFFINGTON CPO (PRESIDENT)
(772) 567-5200
Entity
Organization

Contact information

Practice address
1805 S 25TH ST, SUITE A, FORT PIERCE, FL 34947-4752
(772) 465-0855
(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
032058700
FL
01
M0348
BLUE SHIELD PROVIDER NO.
FL
Enumeration date
07/18/2006
Last updated
02/27/2008
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