Provider Demographics
NPI:1043393796
Name:BRACE TECH ORTHPEDICS, INC
Entity Type:Organization
Organization Name:BRACE TECH ORTHPEDICS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ALEXANDRA
Authorized Official - Middle Name:BONET
Authorized Official - Last Name:MCCABE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-793-8850
Mailing Address - Street 1:440 N STATE ROAD 7
Mailing Address - Street 2:SUITE F
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-3504
Mailing Address - Country:US
Mailing Address - Phone:561-793-8850
Mailing Address - Fax:561-753-3138
Practice Address - Street 1:440 N STATE ROAD 7
Practice Address - Street 2:SUITE F
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-3504
Practice Address - Country:US
Practice Address - Phone:561-793-8850
Practice Address - Fax:561-753-3138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLORF153332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies