IndividualActive
John Imm, B.C.O.
NPI 1154525616 · Orthotic Fitter · Pensacola, FL
Provider details
- NPI number
- 1154525616
- Entity type
- Individual
- Primary specialty
- Orthotic FitterRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- B.C.O.
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
113 Palafox Pl
Pensacola, FL 32502-5629
Phone: (850) 380-8184
Fax: (850) 434-1830
Approximate (ZIP-level) locationGet directions
Mailing address
113 Palafox Pl
Pensacola, FL 32502-5629
Registry dates
- Enumerated
- 2007-06-11
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.