South Beach Orthotics & Prosthetics, Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

SOUTH BEACH ORTHOTICS & PROSTHETICS, INC

Practice address

4751 W 4TH Ave
Hialeah, FL 33012-3938

Phone

(786) 577-0283

Fax

(305) 675-3706

NPI assigned

Jun 28, 2012

Last updated

Mar 21, 2019By 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. Mark Selleck

Title

Owner / President

Phone

(561) 394-4200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553126400000",
    "number": "1326302928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 NW 2ND AVENUE",
            "address_2": "SUITE B-18",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33431",
            "telephone_number": "561-394-4200",
            "fax_number": "561-394-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4751 W 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123938",
            "telephone_number": "786-577-0283",
            "fax_number": "305-675-3706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1009 Maitland Center Commons Blvd",
            "address_2": "Suite 213",
            "address_purpose": "LOCATION",
            "city": "Maitland",
            "state": "FL",
            "postal_code": "327517270",
            "country_code": "US",
            "telephone_number": "407-951-6601",
            "fax_number": "407-960-3976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTH BEACH ORTHOTICS & PROSTHETICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-28",
        "last_updated": "2019-03-21",
        "status": "A",
        "authorized_official_last_name": "SELLECK",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "561-394-4200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yanelis Sotolongo, RBT
• Annhalye O. Sotomayor Cuadrado
• Danis M Sotomayor
• South Beach Orthotics & Prosthetics Inc
• South Beach Orthotics & Prosthetics Inc
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• South Coast Physical Therapy Inc
• South Florida Anesthesia Associates PA

• Prosthetic/Orthotic Supplier in Hialeah, FL
• Providers in Hialeah, 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 Mar 21, 2019; 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.