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INTERCOASTAL ORTHOTICS & PROSTHETICS, LLC
NPI 1083839062
Prosthetic/Orthotic Supplier in Edgewater, FL

Active since April 16, 2007
1 PELICAN DR STE A, EDGEWATER, FL 32141(386) 409-9432(386) 409-9433 Get Directions Write a Review

NPPES record last updated: August 3, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Intercoastal Orthotics & Prosthetics, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTERCOASTAL ORTHOTICS & PROSTHETICS, LLC (NPI 1083839062) is a healthcare organization registered as a prosthetic/orthotic supplier in Edgewater, Florida and active in the NPI registry since April 2007. The organization lists Tom Harvey Mowery, Prosthetist, Orthotist, as its authorized official.

NPPES Registry Identity

NPI1083839062
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameINTERCOASTAL ORTHOTICS & PROSTHETICS, LLC
Location Address1 PELICAN DR STE AEdgewater, FL 32141-4254
Mailing Address1 Pelican Dr Ste AEdgewater, FL 32141-4254 · (386) 409-9432 · Fax (386) 409-9433
Phone(386) 409-9432
Fax(386) 409-9433
Organization SubpartNo
Authorized OfficialTom Harvey MoweryProsthetist, Orthotist · (386) 409-9432
Enumeration DateApril 16, 2007
Last NPPES UpdateAugust 3, 2009
✔ NPI 1083839062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
License✔ Licensed in FL · POR 162
Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

1 PELICAN DR STE A, Edgewater, FL 32141
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Other Identifiers 2

Medicare ID-Type Unspecified5427620001FL
OtherM2714FL · Blue Cross Provider #

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Intercoastal Orthotics & Prosthetics, LLC's NPI number?

The NPI number for Intercoastal Orthotics & Prosthetics, LLC is 1083839062. It was assigned to this organization in the NPPES registry on April 16, 2007.

Where is Intercoastal Orthotics & Prosthetics, LLC located?

Intercoastal Orthotics & Prosthetics, LLC is located at 1 Pelican Dr Ste A, Edgewater, FL 32141. The listed phone number is (386) 409-9432.

What is Intercoastal Orthotics & Prosthetics, LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Intercoastal Orthotics & Prosthetics, LLC was last updated on August 3, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.