Healthcare Provider Details

I. General information

NPI: 1073320560
Provider Name (Legal Business Name): TROPICAL BRACE AND LIMB, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2024
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 VICTORIA COMMONS BLVD STE 105
DELAND FL
32724-7773
US

IV. Provider business mailing address

1009 MAITLAND CENTER COMMONS BLVD STE 205
MAITLAND FL
32751-7270
US

V. Phone/Fax

Practice location:
  • Phone: 407-897-2112
  • Fax: 407-897-2133
Mailing address:
  • Phone: 407-362-7944
  • Fax: 407-897-2133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL NEWMYER
Title or Position: COO
Credential:
Phone: 844-759-5462