Healthcare Provider Details

I. General information

NPI: 1508449257
Provider Name (Legal Business Name): MAHNKE'S ORTHOTICS & PROSTHETICS OF DEERFIELD, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2021
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 FOREST HILL BLVD STE 3
WEST PALM BCH FL
33406-5617
US

IV. Provider business mailing address

7337 W FLAGLER ST
MIAMI FL
33144-2557
US

V. Phone/Fax

Practice location:
  • Phone: 561-881-6771
  • Fax: 561-828-2981
Mailing address:
  • Phone: 786-360-5514
  • Fax: 786-536-5693

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: SILVIO ANDRES MARTINEZ
Title or Position: PRESIDENT
Credential: LPO, CPO
Phone: 786-360-5514