Integrative Rehabilitation Medical, Llc

LBN: Kendall Prosthetics & Orthotics, Inc.
Integrative Rehabilitation Medical, Llc is an health care organization with primary practice located at 3012 Lake Washington Rd , Melbourne FL 32934-7613. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Kendall Prosthetics & Orthotics, Inc. can be contacted via phone (321) 622-5140, or through Odell, Todd Paul via phone (321) 622-5140.

Contact Information

Primary practice address
3012 Lake Washington Rd Melbourne FL 32934-7613
Phone: (321) 622-5140
Fax: (616) 825-6139
Website:
Map and Directions
Authorized official contact:
Name: Odell, Todd Paul COF
Phone: (321) 622-5140

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X POR5 Florida

Profile Details

NPI number 1578699393
LBN Legal business name Kendall Prosthetics & Orthotics, Inc.
DBA Doing business as Integrative Rehabilitation Medical, Llc
Authorized official Odell, Todd Paul COF
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2007
Last updated Mar 29th, 2023 - about 3 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 1578699393 NPPES
Florida Other 226307 AVMED HEALTH PLANS
Florida MEDICAID 951163600 AVMED HEALTH PLANS
Florida Other 169843900 AVMED HEALTH PLANS
Florida Other M2289 AVMED HEALTH PLANS

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