Healthcare Provider Details

I. General information

NPI: 1346286358
Provider Name (Legal Business Name): NORPRO ORTHOTICS & PROSTHETICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 NW CENTRAL PARK PLZ SUITE 110
PORT ST LUCIE FL
34986-1825
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 772-232-9790
  • Fax: 772-232-9640
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: MRS. SUSAN H MINOR
Title or Position: BUSINESS MANAGER
Credential:
Phone: 561-627-7727