Orthotic & Prosthetic Clinic Of Jacksonville, Llc
Durable Medical Equipment & Medical Supplies
11512 Lake Mead Ave Unit 404, Jacksonville
Florida, 32256-9687
904-231-8440 904-231-8441
Orthotic & Prosthetic Clinic Of Jacksonville, Llc is a Durable Medical Equipment & Medical Supplies in Jacksonville, Florida. It is located at 11512 Lake Mead Ave Unit 404, Jacksonville and it's customer support contact number is 904-231-8440. The authorized person of Orthotic & Prosthetic Clinic Of Jacksonville, Llc is Mr. Rafael Agustin Diaz Abreu who is Owner / Ambr of this DME and his contact number is 305-812-5087. Orthotic & Prosthetic Clinic Of Jacksonville, Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Orthotic & Prosthetic Clinic Of Jacksonville, 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:
Orthotic & Prosthetic Clinic Of Jacksonville, 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: | Orthotic & Prosthetic Clinic Of Jacksonville, Llc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 11512 Lake Mead Ave Unit 404, Jacksonville,
Florida, 32256-9687 |
| Phone: | 904-231-8440 |
| Fax: | 904-231-8441 |
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: | Mr. Rafael Agustin Diaz Abreu |
| Position: | Owner / Ambr |
| Contact Number: | 305-812-5087 |
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: | 1942067939 |
| NPI Enumeration Date: | 05 Mar, 2024 |
| NPI Last Update On: | 05 Mar, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Orthotic & Prosthetic Clinic Of Jacksonville, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | | Primary | |
| Prosthetic/orthotic Supplier | | | Secondary | |
Medicare Enrollment:
Orthotic & Prosthetic Clinic Of Jacksonville, 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 |
| 2769911148 | O20250130000665 | Orthotic & Prosthetic Clinic Of Jacksonville Llc | DME SUPPLIER - MEDICAL SUPPLY COMPANY WITH ORTHOTIC-PROSTHETIC |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2754 Nw 27th Ave,
Boca Raton, Florida |
| Zip: | 33434-3692 |
| Phone Number: | 305-812-5087 |
Patients can reach Orthotic & Prosthetic Clinic Of Jacksonville, Llc at
11512 Lake Mead Ave Unit 404, Jacksonville, Florida or can
call on customer care at 904-231-8440.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 July, 2026.