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GULF COAST ORTHOTICS & PROSTHETICS CENTER, LLC
NPI 1538355250
Prosthetic/Orthotic Supplier in Venice, FL

Active since September 16, 2007
4120 WOODMERE PARK BLVD, SUITE 7, VENICE, FL 34293(941) 497-3800(941) 497-7775 Get Directions Write a Review

NPPES record last updated: June 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2019, Dec 22, 2015, Nov 28, 2015 (3 updates tracked since 2015).

About Gulf Coast Orthotics & Prosthetics Center, Llc NPPES

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

GULF COAST ORTHOTICS & PROSTHETICS CENTER, LLC (NPI 1538355250) is a healthcare organization registered as a prosthetic/orthotic supplier in Venice, Florida and active in the NPI registry since September 2007. The organization lists Keith Roderiques, Owner, as its authorized official.

NPPES Registry Identity

NPI1538355250
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameGULF COAST ORTHOTICS & PROSTHETICS CENTER, LLC
Location Address4120 WOODMERE PARK BLVD, SUITE 7Venice, FL 34293-5373
Mailing Address4120 Woodmere Park Blvd, Suite 7Venice, FL 34293-5373 · (941) 497-3800 · Fax (941) 497-7775
Phone(941) 497-3800
Fax(941) 497-7775
Organization SubpartNo
Authorized OfficialKeith RoderiquesOwner · (941) 497-3800
Enumeration DateSeptember 16, 2007
Last NPPES UpdateJune 20, 20193 updates tracked since enumeration
✔ NPI 1538355250 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 181
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.
4120 WOODMERE PARK BLVD, Venice, FL 34293
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Other Identifiers 1

Medicaid749649FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Other Providers at the Same Location NPPES 6

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

QUALITY VASCULAR IMAGING, INC.
Radiologic Technologist (Vascular Sonography)
4120 WOODMERE PARK BLVD, SUITE 8B
VENICE, FL 34293
Sarasota County (941) 408-8855
WOODMERE HEARING & BALANCE CENTERS, INC
Audiologist
4120 WOODMERE PARK BLVD, SUITE 8B
VENICE, FL 34293
Sarasota County (941) 492-4327
AMY M MARSHALL P.T.
Physical Therapist
4120 WOODMERE PARK BLVD, SUITE 5
VENICE, FL 34293
Sarasota County (941) 408-0670
DR. ROBERT A NUZUM M.D.
Internal Medicine (Cardiovascular Disease)
4120 WOODMERE PARK BLVD, SUITE 8B
VENICE, FL 34293
Sarasota County (941) 408-8855
MR. DONALD C. MOORE PT
Physical Therapist
4120 WOODMERE PARK BLVD, SUITE 5
VENICE, FL 34293
Sarasota County (941) 408-0670
JEANNE UTTERBACK PT
Physical Therapist
4120 WOODMERE PARK BLVD, SUITE 5
VENICE, FL 34293
Sarasota County (941) 408-0670

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 Gulf Coast Orthotics & Prosthetics Center, LLC's NPI number?

The NPI number for Gulf Coast Orthotics & Prosthetics Center, LLC is 1538355250. It was assigned to this organization in the NPPES registry on September 16, 2007.

Where is Gulf Coast Orthotics & Prosthetics Center, LLC located?

Gulf Coast Orthotics & Prosthetics Center, LLC is located at 4120 Woodmere Park Blvd Suite 7, Venice, FL 34293. The listed phone number is (941) 497-3800.

What is Gulf Coast Orthotics & Prosthetics Center, LLC's specialty?

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

What insurance does Gulf Coast Orthotics & Prosthetics Center, LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Gulf Coast Orthotics & Prosthetics Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gulf Coast Orthotics & Prosthetics Center, LLC was last updated on June 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.