Westcoast Brace & Limb
Organization Active NPI Prosthetic/Orthotic Supplier · Palm Harbor, FL
NPI 1124035746 · NPPES record last updated Nov 25, 2020
Key facts
- NPI
- 1124035746
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Prosthetic/Orthotic Supplier 335E00000X
- Legal business name
- WESTCOAST BRACE & LIMB
- Practice address
- 3285 Tampa Rd
Palm Harbor, FL 34684-3424 - Phone
- (727) 785-0100
- Fax
- (727) 785-7773
- NPI assigned
- Aug 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Sharon Marie Dorr
- Title
- General Manager
- Phone
- (813) 985-5000
Other NPIs with the same Medicare PAC ID 6
Corporate family (same tax ID) 6
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Westcoast Brace & Limb |
Neuromuscular Elect Stimulators (NMES)/Supplies|Traction Equipment|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Breast Prostheses and/or Accessories|Limb Prostheses|Lymphedema Compression Treatment Items | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930062986 | FL | DME Supplier - Medical Supply Company With Orthotic-Prosthetic | 4284751785 | Practice locations: Palm Harbor, FL |
National Provider Directory
- Tax ID family
- Westcoast Brace and Lim
Locations
3285 Tampa Rd
Palm Harbor, FL 34684
Phone (727) 785-0100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Yes |
Addresses
Primary practice location
3285 Tampa Rd
Palm Harbor, FL 34684-3424
Mailing address
5311 E Fletcher Avenue
Tampa, FL 33617
Phone (813) 985-5000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000250300 | Medicaid | FL |
Other providers in Palm Harbor, FL
- West Coast Medical Group Inc
- West Florida Cardiovascular Center Inc
- West Florida Urology PLC
- Shelly S West
- Westchase Physical Therapy and Medical Supply LLC
- Julie Wetherill
- White House #2
- Patricia White
- Whitney Enterprises
- Sheri Marie Whitson
All providers in Palm Harbor, FL · Prosthetic/Orthotic Supplier in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.