MEDICARE: DOWELL ORTHOPEDIC APPLIANCES, 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	ORF19	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

General Provider Information

NPI Number	:	1952363996
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOWELL ORTHOPEDIC APPLIANCES, INC.

Provider Business Mailing Address
First Line	:	2103 SW 27TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33145-3415
Country	:	US
Telephone Number	:	305-859-9544
Fax Number	:	305-859-9947

Provider Business Practice Location Address
First Line	:	2103 SW 27TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33145-3415
Country	:	US
Telephone Number	:	305-859-9544
Fax Number	:	305-859-9947

Authorized Official
Title or Position	:	OWNER
Name	:	MR. THOMAS GILBERTO DOWELL
Credential	:	BOCPO,CFO
Telephone Number	:	305-859-9544

Provider Enumeration Date	:	04/05/2006
Last Update Date	:	05/15/2008

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