Bay Prosthetic Center

LBN: Bay Prosthetic Center
Bay Prosthetic Center is an health care organization with primary practice located at 930 Mar Walt Dr Ste D, Fort Walton Beach FL 32547-6706. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Bay Prosthetic Center can be contacted via phone (850) 863-5959, or through Cottrill, Glenn E via phone (850) 863-5959.

Contact Information

Primary practice address
930 Mar Walt Dr Ste D Fort Walton Beach FL 32547-6706
Phone: (850) 863-5959
Fax: (850) 863-5977
Website:
Map and Directions
Authorized official contact:
Name: Cottrill, Glenn E C.P.O.
Phone: (850) 863-5959

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X POR31 Florida

Profile Details

NPI number 1346245081
LBN Legal business name Bay Prosthetic Center
DBA Doing business as
Authorized official Cottrill, Glenn E C.P.O.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2005
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346245081 NPPES
Florida Other M2541 BCBS PROVIDER NUMBER

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