SOUTH BEACH ORTHOTICS & PROSTHETICS INC
NPI 1205076676
Prosthetic/Orthotic Supplier in Hialeah, FL

Active since February 25, 2009
4735 PALM AVE, HIALEAH, FL 33012(561) 394-4200(561) 394-4422 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 6, 2023, Mar 23, 2021, Dec 3, 2020 and 1 more (4 updates tracked since 2020).

  • Organization
  • Prosthetic/Orthotic Supplier
  • Accepts Insurance

About SOUTH BEACH ORTHOTICS & PROSTHETICS INC

This page provides the complete NPI Profile along with additional information for South Beach Orthotics & Prosthetics Inc, a provider established in Hialeah, Florida operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1205076676 assigned on February 2009. The practitioner's primary taxonomy code is 335E00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Mr. Mark Selleck (Owner / President)

NPI
1205076676 Verify this NPI
Provider Name
SOUTH BEACH ORTHOTICS & PROSTHETICS INC
Entity Type
Organization
Location Address
4735 PALM AVE HIALEAH, FL 33012
Location Phone
(561) 394-4200
Location Fax
(561) 394-4422
Mailing Address
4147 SUN N LAKE BLVD SEBRING, FL 33872
Mailing Phone
(305) 672-9393
Mailing Fax
(305) 675-3706
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-25-2009
Last Update Date
07-06-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Prosthetic/Orthotic Supplier

Taxonomy Code
335E00000X
Type
Suppliers
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Complete VALUE Gold - HMO
  • Focused VALUE Silver - HMO
  • Focused VALUE Silver + Vision + Adult Dental - HMO
  • Standard Gold VALUE - HMO
  • Standard Silver VALUE - HMO
  • Standard Silver VALUE + Vision + Adult Dental - HMO
  • Clarity Silver - HMO
  • Clarity VALUE Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete VALUE Gold - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite VALUE Bronze - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Gym Access IND Bronze HMO 1340 - HMO
  • Gym Access IND Bronze HMO OA 1211 - HMO
  • Gym Access IND Bronze HMO OA Standard 2450 - HMO
  • Gym Access IND Bronze POS 1042 - POS
  • Gym Access IND Bronze POS BC 3841 - POS
  • Gym Access IND Bronze POS OA 1211 - POS
  • Gym Access IND Bronze POS OA Standard 2450 - POS
  • Gym Access IND Bronze Standardized HMO - HMO
  • Gym Access IND Gold HMO 4500 - HMO
  • Gym Access IND Gold HMO BC 5651 - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MARK SELLECK

Authorized Official Title
OWNER / PRESIDENT
Authorized Official Phone
(561) 394-4200

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
102101600MEDICAID (05)FL 

Reviews for SOUTH BEACH ORTHOTICS & PROSTHETICS INC

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Prosthetic/Orthotic Supplier
4735 PALM AVE
HIALEAH, FL 33012

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205076676, enumerated as an "organization" on February 25, 2009.

The provider is located at 4735 PALM AVE HIALEAH, FL 33012 and the phone number is (561) 394-4200.

Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

The provider might be accepting Accepts: Ambetter from Superior HealthPlan, Ambetter. Please consult your insurance carrier or call the provider to verify.