Organization
INTEGRITY PROSTHETICS AND ORTHOTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLARENCE EDWARD CROWE II CPO, LP (OWNER)
(863) 937-9200
Entity
Organization
Contact information
Practice address
12206 BRUCE B DOWNS BLVD, SUITE 100, TAMPA, FL 33612-9211
(813) 416-5905
Mailing address
12206 BRUCE B DOWNS BLVD, SUITE 100, TAMPA, FL 33612-9211
(813) 416-5905
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
PRO125
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001376200
—
FL
Enumeration date
01/26/2012
Last updated
01/26/2012
Update your record
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