Provider Demographics
NPI:1588747042
Name:ACTION LIMB AND BRACE , INC
Entity type:Organization
Organization Name:ACTION LIMB AND BRACE , INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:SCHAYES
Authorized Official - Suffix:
Authorized Official - Credentials:BOCPO ,CO
Authorized Official - Phone:954-946-8352
Mailing Address - Street 1:1930 NE 34TH CT # 3
Mailing Address - Street 2:
Mailing Address - City:LIGHTHOUSE POINT
Mailing Address - State:FL
Mailing Address - Zip Code:33064-7520
Mailing Address - Country:US
Mailing Address - Phone:954-946-8352
Mailing Address - Fax:954-946-5313
Practice Address - Street 1:1930 NE 34TH CT # 3
Practice Address - Street 2:
Practice Address - City:LIGHTHOUSE POINT
Practice Address - State:FL
Practice Address - Zip Code:33064-7520
Practice Address - Country:US
Practice Address - Phone:954-946-8352
Practice Address - Fax:954-946-5313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLORT74 PRO46332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0461850001Medicare ID - Type UnspecifiedPROSTHETICS/ORTHOTICS