Active NPI
Florence Brace & Limb Inc
- Prosthetic/Orthotic Supplier
- Florence, SC
National Provider Identifier
1033176334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- FLORENCE BRACE & LIMB INC
- Practice address
- 2293 S Irby St
Florence, SC 29505-3424 - Phone
- (843) 665-1102
- Fax
- (843) 799-5097
- NPI assigned
- Apr 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christina Gelaznik
- Title
- Director of Finance & Operations
- Phone
- (727) 498-1003
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | FL | ||
| Customized Equipment (DME) | 332BC3200X | FL | ||
| Prosthetic/Orthotic Supplier | 335E00000X | FL | Primary |
Addresses
Primary practice location
2293 S Irby St
Florence, SC 29505-3424
Mailing address
3611 5TH Ave N
St Petersburg, FL 33713-7503
Phone (727) 327-3332
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 551575 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930064963 | SC | DME Supplier - Medical Supply Company With Orthotic-Prosthetic | 3971622580 | Practice locations: Florence, SC |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Florence Brace & Limb Inc | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Lymphedema Compression Treatment Items | Does not accept assignment |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
2293 S Irby St
Florence, SC 29505
Phone (843) 665-1102
Networks
- SC HMO
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668470400000",
"number": "1033176334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3611 5TH AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337137503",
"telephone_number": "727-327-3332",
"fax_number": "727-327-7304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2293 S IRBY ST",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295053424",
"telephone_number": "843-665-1102",
"fax_number": "843-799-5097"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLORENCE BRACE & LIMB INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-28",
"last_updated": "2022-11-15",
"certification_date": "2022-11-15",
"status": "A",
"authorized_official_last_name": "GELAZNIK",
"authorized_official_first_name": "CHRISTINA",
"authorized_official_title_or_position": "DIRECTOR OF FINANCE & OPERATIONS",
"authorized_official_telephone_number": "727-498-1003"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "551575",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.