Tampa Bay Orthopaedic Designs INC
Prosthetic/Orthotic Supplier in Brandon, FL. Organization (NPI-2).
NPI number1629061007
StatusActive
Last updated in NPPESOct 29, 2026
Details
- NPI
- 1629061007
- Entity type
- Organization (NPI-2)
- Legal business name
- Tampa Bay Orthopaedic Designs INC
- Organization subpart
- No
- Enumeration date
- Aug 31, 2005
- Certification date
- Oct 29, 2026
- Last updated
- Oct 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | POR124 | FL | Yes |
Practice location
667 S Kings AveBrandon, FL 33511-6048
Phone 813-224-0525 · Fax 813-315-9062
Mailing address
1463 Oakfield Dr Ste 134Brandon, FL 33511-0801
Phone 813-224-0525 · Fax 813-315-9062
Authorized official
Olaf Mickle Holm
Owner/President
8132240525
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