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CONCOURSE ORTHOTIC AND PROSTHETIC LAB
NPI 1114930765
Durable Medical Equipment & Medical Supplies - Customized Equipment in Hialeah, FL

Active since August 14, 2006
3750 W 16TH AVE, SUITE 404, HIALEAH, FL 33012(305) 362-6962(305) 362-4424 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Concourse Orthotic And Prosthetic Lab NPPES

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

CONCOURSE ORTHOTIC AND PROSTHETIC LAB (NPI 1114930765) is a healthcare organization registered as a customized equipment in Hialeah, Florida and active in the NPI registry since August 2006. The organization lists Altagracia N Pena, Manager, as its authorized official.

NPPES Registry Identity

NPI1114930765
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NameCONCOURSE ORTHOTIC AND PROSTHETIC LAB
Location Address3750 W 16TH AVE, SUITE 404Hialeah, FL 33012-4654
Mailing Address3750 W 16th Ave, Suite 404Hialeah, FL 33012-4654 · (305) 362-6962 · Fax (305) 362-4424
Phone(305) 362-6962
Fax(305) 362-4424
Organization SubpartNo
Authorized OfficialAltagracia N PenaManager · (305) 362-6962
Enumeration DateAugust 14, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1114930765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Customized EquipmentSuppliers
Taxonomy Code332BC3200X
3750 W 16TH AVE, Hialeah, FL 33012
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YOUR FIRSY MEDICAL CENTER OF FLORIDA INC
Clinic/Center (Health Service)
3750 W 16TH AVE, SUITE 200
HIALEAH, FL 33012
Miami-Dade County (305) 557-1807
MIAMI MEDICAL SERVICE
General Practice
3750 W 16TH AVE, SUITE 114
HIALEAH, FL 33012
Miami-Dade County (305) 467-1238
DENTAL CENTER OF FLORIDA
Dentist
3750 W 16TH AVE, SUITE 236-U
HIALEAH, FL 33012
Miami-Dade County (305) 231-0545
MEDICAL CONSULTING QUALITY CORPORATION
Clinic/Center (Physical Therapy)
3750 W 16TH AVE, SUITE 130-U
HIALEAH, FL 33012
Miami-Dade County (786) 985-3286
SAM MEDICAL SUPPLY CORP.
Durable Medical Equipment & Medical Supplies
3750 W 16TH AVE
HIALEAH, FL 33012
Miami-Dade County (786) 313-0046
M &O MASSAGE THERAPY SERVICES LLC
Clinic/Center (Health Service)
3750 W 16TH AVE, SUITE 134-U
HIALEAH, FL 33012
Miami-Dade County (305) 888-2004
MORELL DENTAL CARE
Clinic/Center (Dental)
3750 W 16TH AVE
HIALEAH, FL 33012
Miami-Dade County (305) 231-0545
ARES MEDICAL CENTER CORP
Clinic/Center (Health Service)
3750 W 16TH AVE, SUITE 240-U
HIALEAH, FL 33012
Miami-Dade County (305) 821-8516

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 Concourse Orthotic And Prosthetic Lab's NPI number?

The NPI number for Concourse Orthotic And Prosthetic Lab is 1114930765. It was assigned to this organization in the NPPES registry on August 14, 2006.

Where is Concourse Orthotic And Prosthetic Lab located?

Concourse Orthotic And Prosthetic Lab is located at 3750 W 16th Ave Suite 404, Hialeah, FL 33012. The listed phone number is (305) 362-6962.

What is Concourse Orthotic And Prosthetic Lab's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.

When was this NPI record last updated?

The NPPES record for Concourse Orthotic And Prosthetic Lab was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.