Creative Orthotic & Prosthetic Services
Durable Medical Equipment & Medical Supplies
120 E Redstone Ave, # C, Crestview
Florida, 32539-5370
850-398-8159 Creative Orthotic & Prosthetic Services is a Durable Medical Equipment & Medical Supplies in Crestview, Florida. It is located at 120 E Redstone Ave, # C, Crestview and it's customer support contact number is 850-398-8159. The authorized person of Creative Orthotic & Prosthetic Services is Charles Sedillo Mata, C.O. who is President of this DME and his contact number is 850-398-8159. Creative Orthotic & Prosthetic Services accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Creative Orthotic & Prosthetic Services is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Creative Orthotic & Prosthetic Services type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Creative Orthotic & Prosthetic Services |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 120 E Redstone Ave, # C, Crestview,
Florida, 32539-5370 |
| Phone: | 850-398-8159 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Charles Sedillo Mata |
| Credentials: | C.O. |
| Position: | President |
| Contact Number: | 850-398-8159 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1770763179 |
| NPI Enumeration Date: | 14 Nov, 2007 |
| NPI Last Update On: | 31 May, 2012 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Creative Orthotic & Prosthetic Services are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | Florida | Primary | |
Medicare Enrollment:
Creative Orthotic & Prosthetic Services is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 5193920601 | O20100930020027 | Creative Orthotic & Prosthetic Services | DME SUPPLIER - CERTIFIED ORTH/PROS/PEDORTHIST |
Products Available:
Creative Orthotic & Prosthetic Services has following products available for sale under medicare.
| Products: |
|---|
| • Diabetic Shoes & Inserts: Custom Fabricated | • Diabetic Shoes & Inserts: Prefabricated |
| • Limb Prostheses | • Orthoses: Custom Fabricated |
| • Orthoses: Off-the-shelf | • Orthoses: Prefabricated |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 120 E Redstone Ave, # C
Crestview, Florida |
| Zip: | 32539-5370 |
| Phone Number: | 850-398-8159 |
Patients can reach Creative Orthotic & Prosthetic Services at
120 E Redstone Ave, # C, Crestview, Florida or can
call on customer care at 850-398-8159.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.