Orthotic & Prosthetic Clinic of Jacksonville, LLC
NPI 1942067939 · Durable Medical Equipment & Medical Supplies · Jacksonville, FL
Enrolled with Medicare as Dme Supplier - Medical Supply Company With Orthotic-Prosthetic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Orthotic & Prosthetic Clinic of Jacksonville, LLC is a Durable Medical Equipment & Medical Supplies organization in Jacksonville, FL (NPI 1942067939).
Provider details
- NPI number
- 1942067939
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Rafael Diaz Abreu, Owner / Ambr(305) 812-5087
Specialties & taxonomies
Suppliers
- Prosthetic/Orthotic Supplier335E00000X
Suppliers
Profile Score
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
Mailing address
Other names (DBA / former)
- Doing business as
- Orthotic & Prosthetic Clinics of America
Registry dates
- Enumerated
- 2024-03-05
- Last updated
- 2024-03-05
- Certified
- 2024-03-05
Frequently asked questions
- What is Orthotic & Prosthetic Clinic of Jacksonville, LLC's NPI number?
- Orthotic & Prosthetic Clinic of Jacksonville, LLC's National Provider Identifier (NPI) is 1942067939, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Orthotic & Prosthetic Clinic of Jacksonville, LLC?
- Orthotic & Prosthetic Clinic of Jacksonville, LLC is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Orthotic & Prosthetic Clinic of Jacksonville, LLC located?
- Orthotic & Prosthetic Clinic of Jacksonville, LLC's practice location on file with NPPES is 11512 Lake Mead Ave Unit 404, Jacksonville, FL 32256-9687.
- What is Orthotic & Prosthetic Clinic of Jacksonville, LLC's phone number?
- The practice phone number listed in the NPPES registry for Orthotic & Prosthetic Clinic of Jacksonville, LLC is (904) 231-8440.
- Does Orthotic & Prosthetic Clinic of Jacksonville, LLC accept Medicare?
- Orthotic & Prosthetic Clinic of Jacksonville, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Orthotic & Prosthetic Clinic of Jacksonville, LLC?
- The authorized official listed on Orthotic & Prosthetic Clinic of Jacksonville, LLC's NPPES record is Rafael Diaz Abreu, Owner / Ambr. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Orthotic & Prosthetic Clinic of Jacksonville, LLC's NPI active?
- Yes — Orthotic & Prosthetic Clinic of Jacksonville, LLC's NPI (1942067939) is active in the NPPES registry as of the last update on 2024-03-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.