Provider Demographics
NPI:1457319055
Name:NORPRO PROSTHETICS AND ORTHOTICS, INC.
Entity Type:Organization
Organization Name:NORPRO PROSTHETICS AND ORTHOTICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MINOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-627-7727
Mailing Address - Street 1:355 HIATT DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-7162
Mailing Address - Country:US
Mailing Address - Phone:561-627-7727
Mailing Address - Fax:561-627-7727
Practice Address - Street 1:1106 W NEW HAVEN AVE
Practice Address - Street 2:
Practice Address - City:W MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32904-4056
Practice Address - Country:US
Practice Address - Phone:321-724-1877
Practice Address - Fax:321-724-1936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-03
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL950605501Medicaid
FL0644080003Medicare ID - Type UnspecifiedPROVIDER NUMBER