Healthcare Provider Details

I. General information

NPI: 1437464351
Provider Name (Legal Business Name): NORPRO PROSTHETICS & ORTHOTICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2010
Last Update Date: 08/31/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1004 ROYAL ST
KISSIMMEE FL
34744-4549
US

IV. Provider business mailing address

355 HIATT DR STE A
PALM BEACH GARDENS FL
33418-7162
US

V. Phone/Fax

Practice location:
  • Phone: 407-992-8957
  • Fax: 407-201-2567
Mailing address:
  • Phone: 561-627-7727
  • Fax: 561-627-7779

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: MS. SUSAN H MINOR
Title or Position: BUSINESS MANAGER
Credential: FLO
Phone: 561-627-7727