Provider Demographics
NPI:1801416946
Name:OSO ORTHOTICS & PROSTHETICS LLC
Entity Type:Organization
Organization Name:OSO ORTHOTICS & PROSTHETICS LLC
Other - Org Name:OSO ORTHOTICS & PROSTHETICS LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARCELA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZURITA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-261-8300
Mailing Address - Street 1:2420 68TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34120-6445
Mailing Address - Country:US
Mailing Address - Phone:954-261-8300
Mailing Address - Fax:
Practice Address - Street 1:11983 TAMIAMI TRL N STE 100C
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-1603
Practice Address - Country:US
Practice Address - Phone:833-676-2327
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-18
Last Update Date:2020-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier