Healthcare Provider Details

I. General information

NPI: 1922065622
Provider Name (Legal Business Name): NORPRO PROSTHETICS & ORTHOTICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2006
Last Update Date: 04/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3028 CARING WAY UNIT 1
PORT CHARLOTTE FL
33952-5300
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 239-274-5555
  • Fax: 239-274-5556
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 MINOR
Title or Position: BUSINESS MANAGER
Credential:
Phone: 561-627-7727