MEDICARE: ORTHOTICS NOW INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1386017572
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOTICS NOW INC

Provider Business Mailing Address
First Line	:	2901 W CYPRESS CREEK RD STE 102E-F
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-1776
Country	:	US
Telephone Number	:	754-332-2963
Fax Number	:

Provider Business Practice Location Address
First Line	:	2901 W CYPRESS CREEK RD STE 102
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-1730
Country	:	US
Telephone Number	:	754-332-2963
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KEMBERLY PITTER
Credential	:
Telephone Number	:	754-332-2963

Provider Enumeration Date	:	11/10/2015
Last Update Date	:	02/03/2021

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