Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Concourse Orthotic and Prosthetic Lab

Organization Customized Equipment (DME) · NPI 1114930765

Concourse Orthotic and Prosthetic Lab is a Customized Equipment (DME) in Hialeah, Florida. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

3750 W 16th Ave Ste 404
Hialeah, FL 33012-4654
Phone: (305) 362-6962
Fax: (305) 362-4424
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Customized Equipment (DME) (primary) Taxonomy 332BC3200X

Record details

NPI number1114930765
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Altagracia Pena — Manager · (305) 362-6962
NPI enumeratedAugust 14, 2006
Last updated in NPPESAugust 22, 2020
Mailing address3750 W 16th Ave, Suite 404, Hialeah, FL 33012-4654

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