Provider Demographics
NPI:1932777430
Name:HOPE MEDICAL PROSTHETICS AND ORTHOTICS LLC
Entity Type:Organization
Organization Name:HOPE MEDICAL PROSTHETICS AND ORTHOTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:ONEILL
Authorized Official - Suffix:JR
Authorized Official - Credentials:CPO/LPO
Authorized Official - Phone:602-348-1055
Mailing Address - Street 1:8757 SE SANDY LN
Mailing Address - Street 2:
Mailing Address - City:HOBE SOUND
Mailing Address - State:FL
Mailing Address - Zip Code:33455-4644
Mailing Address - Country:US
Mailing Address - Phone:602-348-1055
Mailing Address - Fax:
Practice Address - Street 1:8757 SE SANDY LN
Practice Address - Street 2:
Practice Address - City:HOBE SOUND
Practice Address - State:FL
Practice Address - Zip Code:33455-4644
Practice Address - Country:US
Practice Address - Phone:602-348-1055
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-12
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier