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

Intercoastal Orthotics & Prosthetics, LLC

Organization Prosthetic/Orthotic Supplier · NPI 1083839062

Intercoastal Orthotics & Prosthetics, LLC is a Prosthetic/Orthotic Supplier in Edgewater, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1 Pelican Dr Ste A
Edgewater, FL 32141-4254
Phone: (386) 409-9432
Fax: (386) 409-9433
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X · Licence POR 162 (FL)

Record details

NPI number1083839062
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tom Mowery — Prosthetist, Orthotist · (386) 409-9432
NPI enumeratedApril 16, 2007
Last updated in NPPESAugust 3, 2009
Mailing address1 Pelican Dr Ste A, Edgewater, FL 32141-4254