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ORTHOTIC & PROSTHETIC CLINIC OF JACKSONVILLE, LLC
NPI 1942067939
Durable Medical Equipment & Medical Supplies in Jacksonville, FL

Active since March 05, 2024
11512 LAKE MEAD AVE UNIT 404, JACKSONVILLE, FL 32256(904) 231-8440(904) 231-8441 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Orthotic & Prosthetic Clinic Of Jacksonville, Llc NPPES

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

ORTHOTIC & PROSTHETIC CLINIC OF JACKSONVILLE, LLC (NPI 1942067939), doing business as Orthotic & Prosthetic Clinics Of America, is a healthcare organization registered as a durable medical equipment & medical supplies in Jacksonville, Florida and active in the NPI registry since March 2024. The organization lists Rafael Agustin Diaz Abreu, Owner / Ambr, as its authorized official.

NPPES Registry Identity

NPI1942067939
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameORTHOTIC & PROSTHETIC CLINIC OF JACKSONVILLE, LLC
Location Address11512 LAKE MEAD AVE UNIT 404Jacksonville, FL 32256-9687
Mailing Address2754 Nw 27th AveBoca Raton, FL 33434-3692 · (305) 812-5087
Phone(904) 231-8440
Fax(904) 231-8441
Organization SubpartNo
Authorized OfficialRafael Agustin Diaz AbreuOwner / Ambr · (305) 812-5087
Enumeration DateMarch 5, 2024
NPPES CertifiedMarch 5, 2024
✔ NPI 1942067939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Also ListedProsthetic/Orthotic SupplierTaxonomy 335E00000X
11512 LAKE MEAD AVE UNIT 404, Jacksonville, FL 32256
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Other Names 1

Doing Business AsOrthotic & Prosthetic Clinics Of America

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

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 Orthotic & Prosthetic Clinic Of Jacksonville, LLC's NPI number?

The NPI number for Orthotic & Prosthetic Clinic Of Jacksonville, LLC is 1942067939. It was assigned to this organization in the NPPES registry on March 5, 2024. The provider is doing business as Orthotic & Prosthetic Clinics Of America.

Where is Orthotic & Prosthetic Clinic Of Jacksonville, LLC located?

Orthotic & Prosthetic Clinic Of Jacksonville, LLC is located at 11512 Lake Mead Ave Unit 404, Jacksonville, FL 32256. The listed phone number is (904) 231-8440.

What is Orthotic & Prosthetic Clinic Of Jacksonville, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

What insurance does Orthotic & Prosthetic Clinic Of Jacksonville, LLC accept?

Health plans from Molina Healthcare list Orthotic & Prosthetic Clinic Of Jacksonville, 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 Orthotic & Prosthetic Clinic Of Jacksonville, LLC was last updated on March 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.