Newbold Prosthetics, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

PRO108 Issued in FL

Legal business name

NEWBOLD PROSTHETICS, LLC

Practice address

1547 7TH St SW
Winter Haven, FL 33880-3802

Phone

(863) 293-5444

Fax

(863) 293-5446

NPI assigned

Jan 7, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Clement Buckley Newbold III, C.P.

Title

Certified Practioner/Owner

Phone

(863) 293-5444

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310083200000",
    "number": "1306082722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1547 7TH ST SW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803802",
            "telephone_number": "863-293-5444",
            "fax_number": "863-293-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1547 7TH ST SW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803802",
            "telephone_number": "863-293-5444",
            "fax_number": "863-293-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBOLD PROSTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2011-07-08",
        "status": "A",
        "authorized_official_last_name": "NEWBOLD",
        "authorized_official_first_name": "CLEMENT",
        "authorized_official_middle_name": "BUCKLEY",
        "authorized_official_title_or_position": "CERTIFIED PRACTIONER/OWNER",
        "authorized_official_telephone_number": "863-293-5444",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "C.P."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "PRO108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Winter Haven, FL
• Providers in Winter Haven, 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 Jul 8, 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.