Provider Demographics
NPI:1245394048
Name:A NEW STEP PROSTHETICS, LLC
Entity Type:Organization
Organization Name:A NEW STEP PROSTHETICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOANN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-884-0808
Mailing Address - Street 1:7 W MAIN ST
Mailing Address - Street 2:SUITE 1200
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-5197
Mailing Address - Country:US
Mailing Address - Phone:407-884-0808
Mailing Address - Fax:407-814-8889
Practice Address - Street 1:7 W MAIN ST
Practice Address - Street 2:SUITE 1200
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-5197
Practice Address - Country:US
Practice Address - Phone:407-884-0808
Practice Address - Fax:407-814-8889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2010-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPRO44335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5761120001Medicare NSC