About You Brace and Limb, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

ORT6 Issued in FL

Legal business name

ABOUT YOU BRACE AND LIMB, LLC

Practice address

1255 Mason Ave
Daytona Beach, FL 32117-4501

Phone

(386) 323-7990

Fax

(386) 323-7992

NPI assigned

Oct 14, 2013

Last updated

Oct 14, 2013By 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. Paul Bourque, CO

Title

Orthotist

Phone

(386) 323-7990

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1023446895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 MASON AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174501",
            "telephone_number": "386-323-7990",
            "fax_number": "386-323-7992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 MASON AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174501",
            "telephone_number": "386-323-7990",
            "fax_number": "386-323-7992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABOUT YOU BRACE AND LIMB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-14",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "BOURQUE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "ORTHOTIST",
        "authorized_official_telephone_number": "386-323-7990",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "ORT6",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; 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.