Healthcare Provider Details

I. General information

NPI: 1952363996
Provider Name (Legal Business Name): DOWELL ORTHOPEDIC APPLIANCES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2006
Last Update Date: 05/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2103 SW 27TH AVE
MIAMI FL
33145-3415
US

IV. Provider business mailing address

2103 SW 27TH AVE
MIAMI FL
33145-3415
US

V. Phone/Fax

Practice location:
  • Phone: 305-859-9544
  • Fax: 305-859-9947
Mailing address:
  • Phone: 305-859-9544
  • Fax: 305-859-9947

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License NumberORF19
License Number StateFL

VIII. Authorized Official

Name: MR. THOMAS GILBERTO DOWELL
Title or Position: OWNER
Credential: BOCPO,CFO
Phone: 305-859-9544