MEDICARE: MOBILE PROSTHETICS & ORTHOTICS, 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
1	335E00000X	Prosthetic/Orthotic Supplier

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	104514	OTHER	AVMED PROVIDER NUMBER
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	:	1649274556
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOBILE PROSTHETICS & ORTHOTICS, INC.

Provider Business Mailing Address
First Line	:	3160 SOUTHGATE COMMERCE BLVD
Second Line	:	STE 38
City	:	ORLANDO
State	:	FL
Zip	:	32806-8549
Country	:	US
Telephone Number	:	407-245-7770
Fax Number	:	407-245-7727

Provider Business Practice Location Address
First Line	:	3160 SOUTHGATE COMMERCE BLVD
Second Line	:	STE 38
City	:	ORLANDO
State	:	FL
Zip	:	32806-8549
Country	:	US
Telephone Number	:	407-245-7770
Fax Number	:	407-245-7727

Authorized Official
Title or Position	:	COO/ADMINISTRATOR
Name	:	MS. STEPHANIE A KINGSTON
Credential	:
Telephone Number	:	407-245-7770

Provider Enumeration Date	:	06/08/2005
Last Update Date	:	05/12/2020

Similar Medicare Providers

1467459974 — DR. SUSAN CORNELIA FRANZ M.D.
Practice Location Address:

3160 SOUTHGATE COMMERCE BLVD , SUITE 64
ORLANDO, FL
32806-8549

Practice Phone: 407-857-8860
Practice Fax: 407-857-7099

1699732438 — KNEAD TO BE FIT, INC
Practice Location Address:

3160 SOUTHGATE COMMERCE BLVD , SUITE 38B
ORLANDO, FL
32806-8549

Practice Phone: 321-251-7877
Practice Fax: 321-206-8212

1124086699 — DR. CARYN G HASSELBRING M.D.
Practice Location Address:

3160 SOUTHGATE COMMERCE BLVD , STE 30
ORLANDO, FL
32806-8549

Practice Phone: 407-859-4540
Practice Fax: 407-859-3815

1992753503 — DR. LAURA B SUMMERS M.D.
Practice Location Address:

3160 SOUTHGATE COMMERCE BLVD , STE30
ORLANDO, FL
32806-8549

Practice Phone: 407-859-4540
Practice Fax: 407-859-3815

1831147412 — DR. PAMELA G FREEMAN M.D.
Practice Location Address:

3160 SOUTHGATE COMMERCE BLVD , STE 30
ORLANDO, FL
32806-8549

Practice Phone: 407-859-4540
Practice Fax: 407-859-3815

1356401285 — RHEUMATOLOGY ASSOCIATES OF CENTRAL FLORIDA PA
Practice Location Address:

3160 SOUTHGATE COMMERCE BLVD , SUITE30
ORLANDO, FL
32806-8549

Practice Phone: 407-859-4540
Practice Fax: 407-859-3815

Directions to “MOBILE PROSTHETICS & ORTHOTICS, INC. ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.