Advantage O & P

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ADVANTAGE O & P

Practice address

2295 S Irby St
Florence, SC 29505-3424

Phone

(843) 673-9998

Fax

(843) 669-4729

NPI assigned

May 4, 2006

Last updated

Mar 28, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. William K Sell

Title

Operations Manager

Phone

(843) 669-0000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1003864257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12448",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295042448",
            "telephone_number": "843-669-0000",
            "fax_number": "843-669-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 S IRBY ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295053424",
            "telephone_number": "843-673-9998",
            "fax_number": "843-669-4729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE O & P",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "SELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "843-669-0000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE2592",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Roberto Aguilera, M.D.

• Prosthetic/Orthotic Supplier in Florence, SC
• Providers in Florence, SC by specialty
• Prosthetic/Orthotic Supplier in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.