North Florida Orthotic Company Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

PED157 Issued in FL

Legal business name

NORTH FLORIDA ORTHOTIC COMPANY INC

Practice address

2441 NW 43Rd Street
Suite 2D
Gainesville, FL 32606

Phone

(352) 377-7003

Fax

(352) 377-5703

NPI assigned

Feb 10, 2014

Last updated

Dec 13, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

NORTH FLORIDA ORTHOTIC COMPANYAs reported in NPPES

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

Authorized official

Name

Dr. Jere Scola III, DPM

Title

President

Phone

(352) 377-7003

Specialties & licenses 3

Addresses

Other names 1

• North Florida Orthotic Company Former legal business name

Part of

North Florida Orthotic Company Inc

Locations

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1659795748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4615 NW 53RD AVE",
            "address_2": "UNIT A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326534885",
            "telephone_number": "352-377-7003",
            "fax_number": "352-377-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 NW 43RD STREET",
            "address_2": "SUITE 2D",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32606",
            "telephone_number": "352-377-7003",
            "fax_number": "352-377-5703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FLORIDA ORTHOTIC COMPANY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH FLORIDA ORTHOTIC COMPANY",
        "enumeration_date": "2014-02-10",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "SCOLA",
        "authorized_official_first_name": "JERE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-377-7003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "ORT89",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "ORF82",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "PED157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Florida Orthotic Company",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Prosthetic/Orthotic Supplier in Gainesville, FL
• Providers in Gainesville, 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 Dec 13, 2016; 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.