Provider Demographics
NPI:1093859050
Name:FLORIDA O&P SERVICES INC
Entity Type:Organization
Organization Name:FLORIDA O&P SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JACINTHE
Authorized Official - Middle Name:
Authorized Official - Last Name:BERCIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-881-7700
Mailing Address - Street 1:2540 METROCENTRE BLVD STE 6
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-3108
Mailing Address - Country:US
Mailing Address - Phone:561-881-7700
Mailing Address - Fax:561-881-7740
Practice Address - Street 1:2540 METROCENTRE BLVD STE 6
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-3108
Practice Address - Country:US
Practice Address - Phone:561-881-7700
Practice Address - Fax:561-881-7740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPOR46335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1197200006Medicare NSC