=====================================================
General NPI Number Information
=====================================================
NPI Number | 1073320560
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TROPICAL BRACE AND LIMB, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/17/2024
-----------------------------------------------------
Last Update Date | 11/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 121 VICTORIA COMMONS BLVD STE 105
-----------------------------------------------------
City | DELAND
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32724-7773
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-897-2112
-----------------------------------------------------
Fax | 407-897-2133
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1009 MAITLAND CENTER COMMONS BLVD STE 205
-----------------------------------------------------
City | MAITLAND
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32751-7270
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-362-7944
-----------------------------------------------------
Fax | 407-897-2133
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | COO
-----------------------------------------------------
Name | MICHAEL NEWMYER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 844-759-5462
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 335E00000X
-----------------------------------------------------
Taxonomy Name | Prosthetic/Orthotic Supplier
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------