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NPI Code Detail

MEDICARE: ZEPHYRHILLS BRACE & LIMB, INC.

MEDICARE: ZEPHYRHILLS BRACE & LIMB, INC.
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
1332BC3200XCustomized Equipment (DME)
2335E00000XProsthetic/Orthotic Supplier
3332B00000XDurable Medical Equipment & Medical SuppliesPOR101FL

Other Identifiers

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

General Provider Information

NPI Number : 1255356945
Entity Type Code : Organization
Provider Name (Legal Business Name) : ZEPHYRHILLS BRACE & LIMB, INC.
Provider Business Mailing Address
First Line : 3611 5TH AVE N
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33713-7503
Country : US
Telephone Number : 727-327-3332
Fax Number : 727-327-7304
Provider Business Practice Location Address
First Line : 6417 GALL BLVD
Second Line :
City : ZEPHYRHILLS
State : FL
Zip : 33542-2570
Country : US
Telephone Number : 813-788-6879
Fax Number : 813-783-1477
Authorized Official
Title or Position : DIRECTOR OF FINANCE & OPERATIONS
Name : CHRISTINA GELAZNIK
Credential :
Telephone Number : 727-498-1003
Provider Enumeration Date : 07/13/2006
Last Update Date : 11/16/2022

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