Organization Active NPI

Abc Prosthetics & Orthotics of North Florida

  • Prosthetic/Orthotic Supplier
  • Jacksonville, FL
National Provider Identifier
1003427063
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
ABC PROSTHETICS & ORTHOTICS OF NORTH FLORIDA
Practice address
6817 Southpoint Pkwy
Jacksonville, FL 32216-6282
Phone
(904) 686-8222
Fax
(904) 686-8224
NPI assigned
Aug 13, 2020
Last updated
Aug 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Fern Ross
Title
Practice Manager
Phone
(407) 999-8977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

6817 Southpoint Pkwy
Jacksonville, FL 32216-6282

Mailing address

6817 Southpoint Pkwy
Jacksonville, FL 32216-6282
Phone (904) 686-8222

National Provider Directory

National Provider Directory

Locations

6817 Southpoint Pkwy
Jacksonville, FL 32216
Phone (904) 296-3113

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597276800000",
    "number": "1003427063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166282",
            "telephone_number": "904-686-8222",
            "fax_number": "904-686-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166282",
            "telephone_number": "904-686-8222",
            "fax_number": "904-686-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC PROSTHETICS & ORTHOTICS OF NORTH FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "FERN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "407-999-8977"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.