Florida Bracing Centers, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

POR65 Issued in FL

Legal business name

FLORIDA BRACING CENTERS, INC.

Practice address

1111 Glynco Pkwy
Building 2, Suite 110
Brunswick, GA 31525-7921

Phone

(912) 262-1716

NPI assigned

Jul 20, 2011

Last updated

Jul 20, 2011By 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. James Mattern

Title

President

Phone

(954) 917-5655

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311120000000",
    "number": "1114215498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SE 17TH ST",
            "address_2": "SUITE 301",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 GLYNCO PKWY",
            "address_2": "BUILDING 2, SUITE 110",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315257921",
            "telephone_number": "912-262-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA BRACING CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-20",
        "last_updated": "2011-07-20",
        "status": "A",
        "authorized_official_last_name": "MATTERN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-917-5655",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "POR65",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rene Nicole Fisler, AGNP-C
• Kyrisston Shantell Fleming
• Mary Fleming, LPN
• Caroline Dejarnett Flexer, FNP-BC
• Gwendolyn Flonnery-Roberts, MSN, FNP-C, AAHIVS
• Henry Warnock Flournoy, M.D.
• Morgan Flournoy
• Jay William Floyd, MD
• Mario Forcina
• Forefront Dermatology SC (dba Atlantic Shore Dermatology, A Forefront Dermatology Practice)

• Prosthetic/Orthotic Supplier in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Prosthetic/Orthotic Supplier in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; 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.