TPC; NPI #1114479706

Contact Information

TPC
LBN PROSTHETIC TECHNOLOGY CENTER

1700 N DIXIE HWY STE 107
BOCA RATON, FL 33432

Phone: 561-419-8916
Fax: 844-828-8593
Website: http://www.prosthetictechcenter.com

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Prosthetic/Orthotic Supplier	335E00000X	51	Medical Supply Company with Orthotist

Indicates primary specialty

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NPI Profile & details for TPC

NPI Number 1114479706

LBN Legal business name PROSTHETIC TECHNOLOGY CENTER

DBA Doing business as TPC

Authorized official JOHN MOSQUERA CASTRO - (LICENSED PROSTHETIST)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/28/2016

Last updated 10/28/2016 - About 10 years ago

Identifiers

License #

PRO 174

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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