Provider Demographics
NPI:1003327339
Name:ALL ORTHOPEDIC SUPPLIES CORP
Entity Type:Organization
Organization Name:ALL ORTHOPEDIC SUPPLIES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GIOVANNI
Authorized Official - Middle Name:
Authorized Official - Last Name:CARRILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-229-0630
Mailing Address - Street 1:175 FONTAINBLEAU BLVD
Mailing Address - Street 2:STE P1
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172
Mailing Address - Country:US
Mailing Address - Phone:305-229-0630
Mailing Address - Fax:305-397-2527
Practice Address - Street 1:175 FONTAINBLEAU BLVD
Practice Address - Street 2:STE P1
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172
Practice Address - Country:US
Practice Address - Phone:305-229-0630
Practice Address - Fax:305-397-2527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-13
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier