Organization
BIONIC PROSTHETICS AND ORTHOTICS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA ALLEN (CONTRACTING MANAGER)
(336) 482-8231
Entity
Organization
Contact information
Practice address
9921 PINES BLVD, PEMBROKE PINES, FL 33024-6174
(954) 447-7779
(312) 268-5389
Mailing address
PO BOX 2300, VALPARAISO, IN 46384-2300
(219) 791-9200
(312) 268-5389
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
12/02/2022
Last updated
06/21/2026
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