Florida O & P Services Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

POR46 Issued in FL

Legal business name

FLORIDA O & P SERVICES INC

Practice address

1797 Old Moultrie Rd
Suite 110
St Augustine, FL 32084-4171

Phone

(904) 826-0027

Fax

(904) 808-9973

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Matthew Priestly Bailey, C.P.O

Title

President

Phone

(904) 737-7755

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Florida O & P Services Inc

  • Prosthetic/Orthotic Supplier
  • Jacksonville, FL
  • NPI 1588693329

  4880715630

  Same PAC ID
• Florida O & P Services Inc

  • Prosthetic/Orthotic Supplier
  • Orange Park, FL
  • NPI 1902837305

  4880715630

  Same PAC ID
• Florida O&P Services Inc

  • Prosthetic/Orthotic Supplier
  • West Palm Beach, FL
  • NPI 1093859050

  4880715630

  Same PAC ID

These 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

Tax ID family

Florida O P Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Florida O & P Services Inc

  • Prosthetic/Orthotic Supplier
  • Jacksonville, FL
  • NPI 1588693329
  NPD tax ID
• Florida O & P Services Inc

  • Prosthetic/Orthotic Supplier
  • Orange Park, FL
  • NPI 1902837305
  NPD tax ID
• Florida O&P Services Inc

  • Prosthetic/Orthotic Supplier
  • West Palm Beach, FL
  • NPI 1093859050
  NPD tax ID
• Florida O&P Services Inc

  • Prosthetic/Orthotic Supplier
  • Jacksonville, FL
  • NPI 1104068915
  NPD tax ID

Locations

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1093746497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 UNIVERSITY BLVD S",
            "address_2": "SUITE B10",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164250",
            "telephone_number": "904-737-7755",
            "fax_number": "904-737-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1797 OLD MOULTRIE RD",
            "address_2": "SUITE 110",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320844171",
            "telephone_number": "904-826-0027",
            "fax_number": "904-808-9973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA O & P SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "PRIESTLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-737-7755",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P.O"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "POR46",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in St Augustine, FL
• Providers in St Augustine, 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 Aug 12, 2020; 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.

Verify at the official NPI Registry.