Organization
ORTHOCARE ORTHOTICS AND PROSTHETICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY M. ODONELL (OFFICE ADMIN)
(352) 787-0065
Entity
Organization
Contact information
Practice address
910 OLD CAMP RD, BUILDING 100, THE VILLAGES, FL 32162-5604
(352) 751-7265
(352) 751-4447
Mailing address
PO BOX 491558, LEESBURG, FL 34749-1558
(352) 751-7265
(352) 751-4447
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1312064
FL
335E00000X
Prosthetic/Orthotic Supplier
Primary
ORT 61
FL
Other
Enumeration date
02/14/2007
Last updated
06/02/2008
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