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
620 OAKFIELD DRIVE, BRANDON, FL 33511
(813) 684-5525
(813) 653-3730
Mailing address
5311 E FLETCHER AVENUE, TAMPA, FL 33617
(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
—
000250000
—
FL
Enumeration date
08/03/2006
Last updated
11/25/2020
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