Gulf Coast Orthotics & Prosthetics Center, Llc

LBN: Gulf Coast Orthotics & Prosthetics Center, Llc
Gulf Coast Orthotics & Prosthetics Center, Llc is an health care organization with primary practice located at 4120 Woodmere Park Blvd Suite 7, Venice FL 34293-5373. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Gulf Coast Orthotics & Prosthetics Center, Llc can be contacted via phone (941) 497-3800, or through Roderiques, Keith via phone (941) 497-3800.

Contact Information

Primary practice address
4120 Woodmere Park Blvd Suite 7 Venice FL 34293-5373
Phone: (941) 497-3800
Fax: (941) 497-7775
Website:
Map and Directions
Authorized official contact:
Name: Roderiques, Keith CPO
Phone: (941) 497-3800

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X POR 181 Florida

Profile Details

NPI number 1538355250
LBN Legal business name Gulf Coast Orthotics & Prosthetics Center, Llc
DBA Doing business as
Authorized official Roderiques, Keith CPO
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2007
Last updated Jun 20th, 2019 - about 5 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 1538355250 NPPES
Florida MEDICAID 749649

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