Creative Orthotic & Prosthetic Services

LBN: Creative Orthotic & Prosthetic Services
Creative Orthotic & Prosthetic Services is an health care organization with primary practice located at 907 Mar Walt Dr Ste 2011 , Fort Walton Beach FL 32547-6756. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Creative Orthotic & Prosthetic Services can be contacted via phone (850) 226-8546, or through Mata, Mary via phone (850) 226-8546.

Contact Information

Primary practice address
907 Mar Walt Dr Ste 2011 Fort Walton Beach FL 32547-6756
Phone: (850) 226-8546
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mata, Mary
Phone: (850) 226-8546

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1932405404
LBN Legal business name Creative Orthotic & Prosthetic Services
DBA Doing business as
Authorized official Mata, Mary
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2011
Last updated Feb 1st, 2011 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932405404 NPPES
Florida MEDICAID 032149400

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