Premier Orthotics & Prosthetics, LLC
Prosthetic/Orthotic Supplier in Melbourne, FL. Organization (NPI-2).
NPI number1982175303
StatusActive
Last updated in NPPESJul 17, 2026
Details
- NPI
- 1982175303
- Entity type
- Organization (NPI-2)
- Legal business name
- Premier Orthotics & Prosthetics, LLC
- Organization subpart
- No
- Enumeration date
- Dec 11, 2018
- Certification date
- Jul 17, 2026
- Last updated
- Jul 17, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | – | Yes |
Practice location
2225 S. Babcock StreetSuite#115
Melbourne, FL 32901-5376
Phone 321-372-5102 · Fax 321-372-5106
Mailing address
2225 S. Babcock StreetSuite#115
Melbourne, FL 32901-5376
Phone 321-372-5102 · Fax 321-372-5106
Authorized official
Terry Bentley
Owner/Administrator
3213725102
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All 8 Prosthetic/Orthotic Supplier providers in Melbourne · All 6,122 providers in Melbourne
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