Healthcare Provider Details

I. General information

NPI: 1457326654
Provider Name (Legal Business Name): NORPRO PROSTHETICS & ORTHOTICS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2006
Last Update Date: 10/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1685 NW FEDERAL HWY
STUART FL
34994
US

IV. Provider business mailing address

4431 WESTROADS DRIVE
WEST PALM BEACH FL
33407
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: MR. RICHARD L MATTHAEI
Title or Position: OWNER
Credential: FLO & P
Phone: 561-627-7727