Active NPI
KJL Prosthesis
- Prosthetic/Orthotic Supplier
- Orlando, FL
National Provider Identifier
1932853876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- KJL PROSTHESIS
- Practice address
- 4530 S Orange Blossom TRL # 594
Orlando, FL 32839-1704 - Phone
- (321) 444-2110
- Fax
- (321) 275-3775
- NPI assigned
- Feb 9, 2022
- 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
- Kinny McLaren
- Title
- Owner
- Phone
- (321) 444-2110
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
4530 S Orange Blossom TRL # 594
Orlando, FL 32839-1704
Mailing address
4530 S Orange Blossom TRL # 594
Orlando, FL 32839-1704
Phone (321) 444-2110
Other names 1
- KJL Prosthesis
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 3212753775 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647388800000",
"number": "1932853876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4530 S ORANGE BLOSSOM TRL # 594",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328391704",
"telephone_number": "321-444-2110",
"fax_number": "321-275-3775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4530 S ORANGE BLOSSOM TRL # 594",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328391704",
"telephone_number": "321-444-2110",
"fax_number": "321-275-3775"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KJL PROSTHESIS",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-09",
"last_updated": "2022-03-16",
"certification_date": "2022-03-16",
"status": "A",
"authorized_official_last_name": "MCLAREN",
"authorized_official_first_name": "KINNY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "321-444-2110"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "3212753775",
"affiliation": "N",
"endpointDescription": "FAX",
"address_1": "4530 S Orange Blossom Trl # 594",
"city": "Orlando",
"state": "FL",
"country_code": "US",
"postal_code": "328391704",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "KJL Prosthesis",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.