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NPI 1396790804

NPI 1396790804 : FLORIDA PROSTHETICS & ORTHOTICS, INC : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1396790804
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    Entity Type          |    Organization 
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    Legal Business Name  |    FLORIDA PROSTHETICS & ORTHOTICS, INC 
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Dates
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    Enumeration Date     |    05/23/2006
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    Last Update Date     |    12/02/2025
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Provider Practice Location Address
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    Address Line         |    9740 SW 40TH ST UNIT 4
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33165
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    Country              |    US
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    Telephone            |    305-553-1217
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    Fax                  |    305-553-1237
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Provider Business Mailing Address
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    Address Line         |    9740 SW 40TH ST., UNIT 4 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33165
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    Country              |    US
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    Telephone            |    305-553-1217
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    Fax                  |    305-553-1237
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Authorized Official
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    Title or Position    |    PRESIDENT/PROTHETIST, ORTHOTIST
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    Name                 |    MR. ROLANDO  TORRES 
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    Credential           |    C.P.O.
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    Telephone            |    305-553-1217
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    335E00000X
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    Taxonomy Name        |    Prosthetic/Orthotic Supplier
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    License Number       |    POR75
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    License Number State |    FL
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