Tampa Bay Orthopaedic Designs, INC.
Prosthetic/Orthotic Supplier in Brandon, FL. Organization (NPI-2).
NPI number1861685083
StatusActive
Last updated in NPPESNov 27, 2023
Details
- NPI
- 1861685083
- Entity type
- Organization (NPI-2)
- Legal business name
- Tampa Bay Orthopaedic Designs, INC.
- Organization subpart
- Yes
- Enumeration date
- Aug 21, 2007
- Certification date
- Oct 19, 2020
- Last updated
- Nov 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | POR124 | FL | Yes |
| 335E00000X | Prosthetic/Orthotic Supplier | – | – |
Practice location
667 S Kings AveBrandon, FL 33511-4885
Phone 813-661-9162 · Fax 813-662-9347
Mailing address
667 S Kings AveBrandon, FL 33511-6048
Phone 813-661-9162 · Fax 813-662-9347
Authorized official
Olaf Mickle Holm
President
8136619162
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