Provider Demographics
NPI:1043027543
Name:TROPICAL BRACE AND LIMB, LLC
Entity type:Organization
Organization Name:TROPICAL BRACE AND LIMB, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:NEWMYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:844-759-5462
Mailing Address - Street 1:1009 MAITLAND CENTER COMMONS BLVD STE 205
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-7270
Mailing Address - Country:US
Mailing Address - Phone:407-897-2112
Mailing Address - Fax:407-897-2133
Practice Address - Street 1:906 JAN MAR CT STE C & D
Practice Address - Street 2:
Practice Address - City:MINNEOLA
Practice Address - State:FL
Practice Address - Zip Code:34715-6520
Practice Address - Country:US
Practice Address - Phone:407-897-2112
Practice Address - Fax:407-897-2133
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TROPICAL BRACE AND LIMB, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-12-17
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier