Gulf Coast Orthotics & Prosthetics Center, Llc
Durable Medical Equipment & Medical Supplies
21300 Gertrude Ave, Port Charlotte
Florida, 33952-5002
941-408-6246 941-249-8956
Gulf Coast Orthotics & Prosthetics Center, Llc is a Durable Medical Equipment & Medical Supplies in Port Charlotte, Florida. It is located at 21300 Gertrude Ave, Port Charlotte and it's customer support contact number is 941-408-6246. The authorized person of Gulf Coast Orthotics & Prosthetics Center, Llc is Mrs. Lilliane M Roderiques who is Owner of this DME and her contact number is 941-408-6246. Active license number of Gulf Coast Orthotics & Prosthetics Center, Llc is POR181 for Durable Medical Equipment & Medical Supplies in Florida. Gulf Coast Orthotics & Prosthetics Center, Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Gulf Coast Orthotics & Prosthetics Center, Llc 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:
Gulf Coast Orthotics & Prosthetics Center, Llc 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: | Gulf Coast Orthotics & Prosthetics Center, Llc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 21300 Gertrude Ave, Port Charlotte,
Florida, 33952-5002 |
| Phone: | 941-408-6246 |
| Fax: | 941-249-8956 |
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: | Mrs. Lilliane M Roderiques |
| Position: | Owner |
| Contact Number: | 941-408-6246 |
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: | 1588087001 |
| NPI Enumeration Date: | 04 Feb, 2014 |
| NPI Last Update On: | 21 Mar, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gulf Coast Orthotics & Prosthetics Center, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | POR181 | Florida | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0324051 00 | Medicaid | Florida | |
Medicare Enrollment:
Gulf Coast Orthotics & Prosthetics Center, Llc 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 |
| 5698971356 | O20140630000825 | Gulf Coast Orthotics & Prosthetics Center Llc | DME SUPPLIER - PROSTHETIC PERSONNEL |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 21300 Gertrude Ave,
Port Charlotte, Florida |
| Zip: | 33952-5002 |
| Phone Number: | -- |
Patients can reach Gulf Coast Orthotics & Prosthetics Center, Llc at
21300 Gertrude Ave, Port Charlotte, Florida or can
call on customer care at 941-408-6246.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.