MEDICARE: ABOUT YOU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier	000000000	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033462171
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABOUT YOU

Provider Business Mailing Address
First Line	:	3401 HENDERSON BLVD STE A
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-3988
Country	:	US
Telephone Number	:	813-876-2727
Fax Number	:	480-907-3092

Provider Business Practice Location Address
First Line	:	3401 HENDERSON BLVD
Second Line	:	SUITE A
City	:	TAMPA
State	:	FL
Zip	:	33609-3989
Country	:	US
Telephone Number	:	813-876-2727
Fax Number	:	813-876-2725

Authorized Official
Title or Position	:	OWNER
Name	:	JERRY WAYNE SOKOL
Credential	:
Telephone Number	:	801-891-1475

Provider Enumeration Date	:	10/25/2012
Last Update Date	:	03/28/2023

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Directions to “ABOUT YOU ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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