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NPI 1881458065 · Prosthetic/Orthotic Supplier · Miami, FL
Provider details
- NPI number
- 1881458065
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Brittany Lane, Manager(786) 247-0572
Specialties & taxonomies
Suppliers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
14650 Sw 104th Ave
Miami, FL 33176-7716
Phone: (786) 247-0572
Street-level locationGet directions
Mailing address
14650 Sw 104th Ave
Miami, FL 33176-7716
Registry dates
- Enumerated
- 2024-02-08
- Last updated
- 2024-02-08
- Certified
- 2024-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.