Provider Demographics
NPI:1689187270
Name:AMERICAN BRACING SOLUTIONS, INC.
Entity Type:Organization
Organization Name:AMERICAN BRACING SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:WINSTON
Authorized Official - Last Name:BLACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-351-7403
Mailing Address - Street 1:1301 SEMINOLE BLVD STE 141
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33770-8182
Mailing Address - Country:US
Mailing Address - Phone:727-351-7403
Mailing Address - Fax:727-351-7404
Practice Address - Street 1:1301 SEMINOLE BLVD STE 141
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-8182
Practice Address - Country:US
Practice Address - Phone:727-351-7403
Practice Address - Fax:727-351-7404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-06
Last Update Date:2018-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies