Provider Demographics
NPI:1730147323
Name:NORPRO ORTHOTICS & PROSTHETICS
Entity type:Organization
Organization Name:NORPRO ORTHOTICS & PROSTHETICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MINOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-627-7727
Mailing Address - Street 1:355 HIATT DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-7162
Mailing Address - Country:US
Mailing Address - Phone:561-627-7727
Mailing Address - Fax:561-627-7779
Practice Address - Street 1:14160 US HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:SEBASTIAN
Practice Address - State:FL
Practice Address - Zip Code:32958-3253
Practice Address - Country:US
Practice Address - Phone:772-388-4922
Practice Address - Fax:772-388-5152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0644080007Medicare ID - Type UnspecifiedPROVIDER NUMBER