Active NPI
South Beach Orthotics & Prosthetics, LLC
- Prosthetic/Orthotic Supplier
- Stuart, FL
National Provider Identifier
1346559507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- SOUTH BEACH ORTHOTICS & PROSTHETICS, LLC
- Practice address
- 744 S Colorado Ave
Stuart, FL 34994-3005 - Phone
- (772) 221-9426
- Fax
- (772) 872-3010
- NPI assigned
- Oct 5, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ivan Sabel
- Title
- Ceo
- Phone
- (863) 658-1291
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
744 S Colorado Ave
Stuart, FL 34994-3005
Mailing address
4147 Sun N Lake Blvd
Sebring, FL 33872-2131
Phone (863) 658-1291
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014573000 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778716800000",
"number": "1346559507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4147 SUN N LAKE BLVD",
"city": "SEBRING",
"state": "FL",
"postal_code": "338722131",
"telephone_number": "863-658-1291",
"fax_number": "863-884-1593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "744 S COLORADO AVE",
"city": "STUART",
"state": "FL",
"postal_code": "349943005",
"telephone_number": "772-221-9426",
"fax_number": "772-872-3010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH BEACH ORTHOTICS & PROSTHETICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-05",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A",
"authorized_official_last_name": "SABEL",
"authorized_official_first_name": "IVAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "863-658-1291"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "014573000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stuart, FL
- Jorge Soto-Miranda, DC
- Roberto Victor Sotullo II
- Leslie Soulek, MSW
- Sandra June Sousa, RBT
- South Beach Medical Associates, LLC
- South Florida Breast Specialists PLLC
- South Florida Orthopaedics & Sports Medicine
- South Florida Orthopaedics & Sports Medicine, PA
- South Florida Orthopaedics & Sports Medicine, PA
- South Florida Orthopaedics & Sports Medicine,PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.