Abc Prosthetics and Orthotics of Altamonte Springs Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

POR41 Issued in FL

Legal business name

ABC PROSTHETICS AND ORTHOTICS OF ALTAMONTE SPRINGS INC

Practice address

691 Douglas Ave
Ste 103
Altamonte Springs, FL 32714-2571

Phone

(407) 772-1990

Fax

(407) 772-1991

NPI assigned

Nov 18, 2005

Last updated

Aug 22, 2020By 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

Wendy A Harrigan

Title

Billing Manager

Phone

(407) 341-5873

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376525998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "691 DOUGLAS AVE",
            "address_2": "STE 103",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142571",
            "telephone_number": "407-772-1990",
            "fax_number": "407-772-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 DOUGLAS AVE",
            "address_2": "STE 103",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142571",
            "telephone_number": "407-772-1990",
            "fax_number": "407-772-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC PROSTHETICS AND ORTHOTICS OF ALTAMONTE SPRINGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRIGAN",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "407-341-5873"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "POR41",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "M2512",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Altamonte Springs, FL
• Providers in Altamonte Springs, 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 Aug 22, 2020; 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.