Provider Demographics
NPI:1811786510
Name:KIDISPLINTS SOUTH LLC
Entity type:Organization
Organization Name:KIDISPLINTS SOUTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHOTIST
Authorized Official - Prefix:
Authorized Official - First Name:ROCHELLE
Authorized Official - Middle Name:BRACHA
Authorized Official - Last Name:SILBERMAN-GARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-494-1111
Mailing Address - Street 1:7601 SIERRA DR W
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-3321
Mailing Address - Country:US
Mailing Address - Phone:917-494-1111
Mailing Address - Fax:
Practice Address - Street 1:1877 W HILLSBORO BLVD
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-1401
Practice Address - Country:US
Practice Address - Phone:917-494-1111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment