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NPI Code Detail

MEDICARE: INTEGRITY PROSTHETICS AND ORTHOTICS

MEDICARE: INTEGRITY PROSTHETICS AND ORTHOTICS
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
1335E00000XProsthetic/Orthotic SupplierPRO125FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902177629
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTEGRITY PROSTHETICS AND ORTHOTICS
Provider Business Mailing Address
First Line : 12206 BRUCE B DOWNS BLVD
Second Line : SUITE 100
City : TAMPA
State : FL
Zip : 33612-9211
Country : US
Telephone Number : 813-416-5905
Fax Number :
Provider Business Practice Location Address
First Line : 12206 BRUCE B DOWNS BLVD
Second Line : SUITE 100
City : TAMPA
State : FL
Zip : 33612-9211
Country : US
Telephone Number : 813-416-5905
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. CLARENCE EDWARD CROWE II
Credential : CPO, LP
Telephone Number : 863-937-9200
Provider Enumeration Date : 01/26/2012
Last Update Date : 01/26/2012

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Directions to “INTEGRITY PROSTHETICS AND ORTHOTICS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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