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

Pediatric Orthotic and Prosthetic Services - Southeast, LLC

Organization Prosthetic/Orthotic Supplier · NPI 1386929347

Pediatric Orthotic and Prosthetic Services - Southeast, LLC is a Prosthetic/Orthotic Supplier in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
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

15511 N Florida Ave Ste 102
Tampa, FL 33613-1263
Phone: (813) 975-7139
Fax: (813) 631-7160
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X · Licence 4184 (FL)

Record details

NPI number1386929347
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPediatric Orthotic and Prosthetic Services - Southeast, LLC
Authorized official Joanne Kanas — Executive Director O&P · (813) 975-7139
NPI enumeratedOctober 20, 2011
Last updated in NPPESSeptember 25, 2025
Certification dateSeptember 25, 2025
Mailing addressPo Box 947109, Atlanta, GA 30394-7109

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