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

Orthotic & Prosthetic Clinic of Jacksonville, LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1942067939

Orthotic & Prosthetic Clinic of Jacksonville, LLC is a Durable Medical Equipment & Medical Supplies in Jacksonville, Florida. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11512 Lake Mead Ave Unit 404
Jacksonville, FL 32256-9687
Phone: (904) 231-8440
Fax: (904) 231-8441
Show map & directions

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

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X
Prosthetic/Orthotic Supplier Taxonomy 335E00000X

Record details

NPI number1942067939
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rafael Diaz Abreu — Owner / Ambr · (305) 812-5087
Other names Orthotic & Prosthetic Clinics Of America
NPI enumeratedMarch 5, 2024
Last updated in NPPESMarch 5, 2024
Certification dateMarch 5, 2024
Mailing address2754 Nw 27th Ave, Boca Raton, FL 33434-3692

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