Creative Orthotic & Prosthetic Services

LBN: Creative Orthotic & Prosthetic Services
Creative Orthotic & Prosthetic Services is an health care organization with primary practice located at 120 E Redstone Ave # C, Crestview FL 32539-5370. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Creative Orthotic & Prosthetic Services can be contacted via phone (850) 398-8159, or through Mata, Charles Sedillo via phone (850) 398-8159.

Contact Information

Primary practice address
120 E Redstone Ave # C Crestview FL 32539-5370
Phone: (850) 398-8159
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mata, Charles Sedillo Certified Orthotist (CO)
Phone: (850) 398-8159

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Florida

Profile Details

NPI number 1770763179
LBN Legal business name Creative Orthotic & Prosthetic Services
DBA Doing business as
Authorized official Mata, Charles Sedillo Certified Orthotist (CO)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2007
Last updated May 31st, 2012 - about 13 years ago

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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