Provider Demographics
NPI:1376927285
Name:PROSTHETIC ORTHOTIC DESIGNS INC.
Entity Type:Organization
Organization Name:PROSTHETIC ORTHOTIC DESIGNS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:ROSS
Authorized Official - Last Name:FINNIESTON
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:305-699-9916
Mailing Address - Street 1:8445 SW 132ND ST
Mailing Address - Street 2:
Mailing Address - City:PINECREST
Mailing Address - State:FL
Mailing Address - Zip Code:33156-6505
Mailing Address - Country:US
Mailing Address - Phone:305-699-9916
Mailing Address - Fax:844-287-2552
Practice Address - Street 1:8445 SW 132ND ST
Practice Address - Street 2:
Practice Address - City:PINECREST
Practice Address - State:FL
Practice Address - Zip Code:33156-6505
Practice Address - Country:US
Practice Address - Phone:305-699-9916
Practice Address - Fax:844-287-2552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-10
Last Update Date:2015-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPOR 187335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier