Provider Demographics
NPI:1457235327
Name:INTEGRITY PROSTHETICS AND ORTHOTICS
Entity type:Organization
Organization Name:INTEGRITY PROSTHETICS AND ORTHOTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROSTHETIST / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLARENCE
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:CROWE
Authorized Official - Suffix:II
Authorized Official - Credentials:CPO60
Authorized Official - Phone:863-937-9200
Mailing Address - Street 1:2606 LAKELAND HILLS BLVD
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33805-2218
Mailing Address - Country:US
Mailing Address - Phone:863-937-9200
Mailing Address - Fax:
Practice Address - Street 1:693 W LUMSDEN RD
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-5911
Practice Address - Country:US
Practice Address - Phone:863-937-9200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier