PROSTHETICS CLINIC OF FLORIDA LLC, Prosthetist NEW PORT RICHEY, FL

Contact Information

PROSTHETICS CLINIC OF FLORIDA, LLC

5651 GULF DR STE 4
NEW PORT RICHEY, FL 34652-4019

Phone: 352-436-1688
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Prosthetist	224P00000X	56	Individual Certified Prosthetist
Amputee	261QA0900X
Orthotist	222Z00000X	55	Individual Certified Orthotist
Physical Therapist	225100000X	65	Physical Therapist in Private Practice
Physical Therapy	261QP2000X

Indicates primary specialty

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NPI Profile & details for PROSTHETICS CLINIC OF FLORIDA LLC · (Female)

NPI Number	`1912406950`
Status	Active
Credentials
Entity	Individual
Enumeration date	02/05/2018
Last updated	12/03/2025 - About 6 months ago
Sole proprietor ¹	Not specified
Identifiers	FL License # POR240
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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