South Beach Orthotics & Prosthetics Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

HCC6065 Issued in FL

Legal business name

SOUTH BEACH ORTHOTICS & PROSTHETICS INC

Practice address

4735 Palm Ave
Hialeah, FL 33012-4037

Phone

(305) 672-9393

Fax

(305) 675-3706

NPI assigned

Jul 23, 2006

Last updated

Oct 1, 2026By 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

Ivan Sabel

Title

Ceo

Phone

(863) 658-1291

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• South Beach Orthotics & Prosthetics, Inc

  • Prosthetic/Orthotic Supplier
  • Sebring, FL
  • NPI 1841590734

  7719196112

  Same PAC ID
• South Beach Orthotics & Prosthetics, Inc

  • Prosthetic/Orthotic Supplier
  • Davie, FL
  • NPI 1982985883

  7719196112

  Same PAC ID

Tax ID family

South Beach Orthotics Prosthetics Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• South Beach Orthotics & Prosthetics, Inc

  • Prosthetic/Orthotic Supplier
  • Sebring, FL
  • NPI 1841590734
  NPD tax ID
• South Beach Orthotics & Prosthetics, Inc

  • Prosthetic/Orthotic Supplier
  • Davie, FL
  • NPI 1982985883
  NPD tax ID

Locations

Networks

• HealthSun Health Plans Network

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark T Selleck, LPO,CPO

  • Prosthetic/Orthotic Supplier
  • Sebring, FL
  • NPI 1871519363
  NPD (past)

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1881616720",
    "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": "4735 PALM AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124037",
            "telephone_number": "305-672-9393",
            "fax_number": "305-675-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BEACH ORTHOTICS & PROSTHETICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "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": "FL",
            "license": "HCC6065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004162700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lissandra Sotolongo, LMHC
• Yanelis Sotolongo, RBT
• Annhalye O. Sotomayor Cuadrado
• Danis M Sotomayor
• South Beach Orthotics & Prosthetics Inc
• South Beach Orthotics & Prosthetics, Inc
• South Broward Hospital District (Memorial Primary Care-Palm Springs North)
• South Broward Rehab Services LLC
• South Broward Rehabilitaton
• South Coast Physical Therapy Inc

• 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 Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.