Restore Poc

LBN: American Ortho-Tech Laboratories Inc.
Restore Poc is an health care organization with primary practice located at 1414 W Granada Blvd Ste 3 , Ormond Beach FL 32174-8104. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. American Ortho-Tech Laboratories Inc. can be contacted via phone (386) 258-0401, or through Woodall, Janet via phone (336) 397-0993.

Contact Information

Primary practice address
1414 W Granada Blvd Ste 3 Ormond Beach FL 32174-8104
Phone: (386) 258-0401
Fax: (386) 252-1013
Website:
Map and Directions
Authorized official contact:
Name: Woodall, Janet
Phone: (336) 397-0993

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X POR142 Florida

Profile Details

NPI number 1215951983
LBN Legal business name American Ortho-Tech Laboratories Inc.
DBA Doing business as Restore Poc
Authorized official Woodall, Janet
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2006
Last updated May 4th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215951983 NPPES
Florida MEDICAID 012202900

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