Organization
MCCALL'S ORTHOTIC AND PROSTHETIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES MARTIN SIXSMITH II LPO (PRESIDENT/PRACTIONER)
(727) 327-5000
Entity
Organization
Contact information
Practice address
5639 49TH ST N, ST PETERSBURG, FL 33709-2105
(727) 327-5000
(727) 527-6661
Mailing address
5639 49TH ST N, ST PETERSBURG, FL 33709-2105
(727) 327-5000
(727) 527-6661
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
POR168
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028335500
—
FL
Enumeration date
05/27/2005
Last updated
12/21/2007
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