Active NPI
Florida O & P Services Inc
- Prosthetic/Orthotic Supplier
- Orange Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- POR46
- Legal business name
- FLORIDA O & P SERVICES INC
- Practice address
- 1555 Kingsley Ave
Suite 505
Orange Park, FL 32073-4560 - Phone
- (904) 278-7025
- Fax
- (904) 278-7027
- NPI assigned
- Jul 5, 2006
- Last updated
- Aug 12, 2020
- 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
- Mr. Matthew Priestly Bailey, C.P.O
- Title
- President
- Phone
- (904) 737-7755
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | POR46 | FL | Primary |
Addresses
Primary practice location
1555 Kingsley Ave
Suite 505
Orange Park, FL 32073-4560
Mailing address
3636 University Blvd S
Suite B10
Jacksonville, FL 32216-4250
Phone (904) 737-7755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930040602 | FL | DME Supplier - Certified Orth/Pros/Pedorthist | 4880715630 | Practice locations: Orange Park, FL |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Florida O & P Services Inc | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Lymphedema Compression Treatment Items | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Florida O P Services Inc
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- St Augustine, FL
- NPI 1093746497
-
- Prosthetic/Orthotic Supplier
- Jacksonville, FL
- NPI 1588693329
-
- Prosthetic/Orthotic Supplier
- West Palm Beach, FL
- NPI 1093859050
-
- Prosthetic/Orthotic Supplier
- Jacksonville, FL
- NPI 1104068915
Locations
3636 University Blvd S
Ste B10
Jacksonville, FL 32216
Phone (904) 737-7755
1555 Kingsley Ave
Ste 505
Orange Park, FL 32073
Phone (904) 278-7025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597190400000",
"number": "1902837305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3636 UNIVERSITY BLVD S",
"address_2": "SUITE B10",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164250",
"telephone_number": "904-737-7755",
"fax_number": "904-737-7962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 KINGSLEY AVE",
"address_2": "SUITE 505",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320734560",
"telephone_number": "904-278-7025",
"fax_number": "904-278-7027"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLORIDA O & P SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-05",
"last_updated": "2020-08-12",
"certification_date": "2020-08-12",
"status": "A",
"authorized_official_last_name": "BAILEY",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "PRIESTLY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "904-737-7755",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "C.P.O"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "FL",
"license": "POR46",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange Park, FL
- Florida First Care, Inc.
- Florida Heart Center PA
- Florida Infectious Disease Associates PA (Nephrology Associates of Northeast Florida)
- Florida Institute of Pain Medicine LLC (Florida Pain Physicians)
- Florida Kidney & Hypertension Clinic Inc
- Florida Physician Specialists LLC (Urology Associates of Northeast Florida)
- Florida Sleep Solutions of Jax Inc
- Florida Woman Care LLC
- Karen M Flowers
- Brittany Floyd
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.