Provider Demographics
NPI:1457326654
Name:NORPRO PROSTHETICS & ORTHOTICS, INC
Entity Type:Organization
Organization Name:NORPRO PROSTHETICS & ORTHOTICS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:L
Authorized Official - Last Name:MATTHAEI
Authorized Official - Suffix:
Authorized Official - Credentials:FLO & P
Authorized Official - Phone:561-627-7727
Mailing Address - Street 1:4431 WESTROADS DRIVE
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407
Mailing Address - Country:US
Mailing Address - Phone:561-627-7727
Mailing Address - Fax:561-627-7779
Practice Address - Street 1:1685 NW FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994
Practice Address - Country:US
Practice Address - Phone:772-232-9790
Practice Address - Fax:772-232-9640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-21
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL950605500Medicaid
FL950605500Medicaid