Organization
WESTCOAST BRACE & LIMB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON MARIE DORR (GENERAL MANAGER)
(813) 985-5000
Entity
Organization
Contact information
Practice address
2727 MARTIN LUTHER KING BLVD, SUITE 690, TAMPA, FL 33607-6383
(813) 354-0100
(813) 348-0629
Mailing address
5311 E FLETCHER AVE, TAMPA, FL 33617-1147
(813) 985-5000
(813) 985-4499
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032319500
—
FL
Enumeration date
08/03/2006
Last updated
11/25/2020
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