Provider Demographics
NPI:1427144914
Name:CATCH A FALLING ARCH, INC
Entity type:Organization
Organization Name:CATCH A FALLING ARCH, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURETTA
Authorized Official - Middle Name:M
Authorized Official - Last Name:FERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:CPED
Authorized Official - Phone:727-585-4200
Mailing Address - Street 1:10500 ULMERTON RD
Mailing Address - Street 2:SUITE 240
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33771-3549
Mailing Address - Country:US
Mailing Address - Phone:727-585-4200
Mailing Address - Fax:727-585-4700
Practice Address - Street 1:10500 ULMERTON RD
Practice Address - Street 2:SUITE 240
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33771-3549
Practice Address - Country:US
Practice Address - Phone:727-585-4200
Practice Address - Fax:727-585-4700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2011-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPED83225000000X, 335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLM2736OtherBLUE CROSS BLUE SHIELD FL
GACATCH AOtherAARP
KY0007517452OtherAETNA
FL4621740001Medicare NSC