OrganizationActive
Advance Prosthetics and Orthotics, Inc.
NPI 1386611978 · Prosthetic/Orthotic Supplier · Jacksonville, FL
Provider details
- NPI number
- 1386611978
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Michael Richard, President(904) 858-1515
- License
- POR67 (FL)
Specialties & taxonomies
Suppliers
Practice location
4537 Emerson St
Jacksonville, FL 32207-4918
Phone: (904) 858-1515
Approximate (ZIP-level) locationGet directions
Mailing address
4537 Emerson St
Jacksonville, FL 32207-4918
Additional practice locations (1)
- 3728 Phillips HwySuite 222Jacksonville, FL 32207-9300Phone: (904) 858-1515
Registry dates
- Enumerated
- 2006-03-02
- Last updated
- 2021-07-01
- Certified
- 2021-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.