Collins Orthopedic Lab Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

POR 120 Issued in FL

Legal business name

COLLINS ORTHOPEDIC LAB INC

Practice address

320 Piney Ridge Rd
Casselberry, FL 32707-3806

Phone

(407) 388-0141

Fax

(407) 388-1121

NPI assigned

Sep 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Dale Howard Collins, LPO

Title

Ceo

Phone

(407) 388-0141

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364947200000",
    "number": "1609973395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 PINEY RIDGE RD",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327073806",
            "telephone_number": "407-388-0141",
            "fax_number": "407-388-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 PINEY RIDGE RD",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327073806",
            "telephone_number": "407-388-0141",
            "fax_number": "407-388-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINS ORTHOPEDIC LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2013-04-03",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-388-0141",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "POR 120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE P & O",
            "identifier": "POR 120",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Ann Cloues, PHD
• Coast Florida P.a.
• Sabrina L Coleman, M.A., CCC/SLP
• Nicole Coletti, ARNP
• Milton Collins El, LCSW
• Divvia-Clyne Ashley Collins, BCABA
• Comfortable Care Dental Health Professionals
• Community Flourishing Initiative
• Marsha Jo Conklin
• Stephanie Anne Cook

• Prosthetic/Orthotic Supplier in Casselberry, FL
• Providers in Casselberry, 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 Apr 3, 2013; 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.