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General NPI Number Information
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NPI Number | 1598675662
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Entity Type | Organization
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Legal Business Name | TAMPA BAY ARTIFICIAL LIMBS, INC.
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Dates
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Enumeration Date | 09/10/2026
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Last Update Date | 09/10/2026
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Provider Practice Location Address
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Address Line | 2609 W 23RD ST
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City | PANAMA CITY
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State | FL
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Zip | 32405-2339
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Country | US
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Telephone | 850-299-9911
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Fax | 813-801-9048
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Provider Business Mailing Address
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Address Line | 5109 N ARMENIA AVE
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City | TAMPA
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State | FL
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Zip | 33603-1405
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Country | US
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Telephone | 813-801-9110
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Fax | 813-801-9048
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Authorized Official
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Title or Position | CEO, CPO
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Name | MARIA PAULA GOMEZ
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Credential | CPO
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Telephone | 813-801-9110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 222Z00000X
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Taxonomy Name | Orthotist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 224P00000X
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Taxonomy Name | Prosthetist
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License Number |
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License Number State |
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