Integrative Rehabilitation Medical, Llc
LBN: Kendall Prosthetics & Orthotics, Inc.
Integrative Rehabilitation Medical, Llc is an health care organization with primary practice located at 3012 Lake Washington Rd , Melbourne FL 32934-7613. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty.
Kendall Prosthetics & Orthotics, Inc. can be contacted via phone (321) 622-5140, or through Odell, Todd Paul via phone (321) 622-5140.
Contact Information
Primary practice address
3012 Lake Washington Rd
Melbourne FL 32934-7613
Phone: (321) 622-5140
Fax: (616) 825-6139
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X | POR5 | Florida |
Profile Details
| NPI number | 1578699393 |
|---|---|
| LBN Legal business name | Kendall Prosthetics & Orthotics, Inc. |
| DBA Doing business as | Integrative Rehabilitation Medical, Llc |
| Authorized official | Odell, Todd Paul COF |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Mar 29th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578699393 | NPPES |
| Florida | Other | 226307 | AVMED HEALTH PLANS |
| Florida | MEDICAID | 951163600 | AVMED HEALTH PLANS |
| Florida | Other | 169843900 | AVMED HEALTH PLANS |
| Florida | Other | M2289 | AVMED HEALTH PLANS |
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