Provider Demographics
NPI:1790742575
Name:NORPRO PROSTHETICS & ORTHOTICS, INC.
Entity Type:Organization
Organization Name:NORPRO PROSTHETICS & 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:561-627-7779
Practice Address - Street 1:1560 MATTHEW DR
Practice Address - Street 2:SUITE A
Practice Address - City:FT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-1702
Practice Address - Country:US
Practice Address - Phone:239-274-5555
Practice Address - Fax:239-274-5556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-27
Last Update Date:2011-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL025465700Medicaid
FL025465700Medicaid