MID-FLORIDA PROSTHETICS & ORTHOTICS – Prosthetic/Orthotic Supplier, NPI 1003022351

MID-FLORIDA PROSTHETICS & ORTHOTICS is a healthcare provider. based in Gainesville, Florida. specializing in Prosthetic/Orthotic Supplier. The NPI Number for MID-FLORIDA PROSTHETICS & ORTHOTICS is 1003022351

Main info

Organization
Name
MID-FLORIDA PROSTHETICS & ORTHOTICS
NPI
1003022351
Phone
(352) 331-3399
Address
6608 NW 9TH BLVD
Authorized Official
MR. VICTOR BUSTAMANTE PRESIDENT CPO
Enumeration Date
15 May 2007
Last Update Date
7 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for MID-FLORIDA PROSTHETICS & ORTHOTICS

  • Gainesville Family Physicians, 6900, Northwest 9th Boulevard, West Hills, Alachua County, Florida, 32605, United States

    GAINESVILLE, FL 326054207

    Phone: (352) 331-3399

    Fax: (352) 331-9927

    Type: Mailing

  • 221 SW STONEGATE TER STE 107

    LAKE CITY, FL 320243463

    Phone: (386) 755-5774

    Fax: (352) 331-9927

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20100930057571OOrthotic PersonnelFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32605)

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Reviews

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Frequently asked questions

What is MID-FLORIDA PROSTHETICS & ORTHOTICS's NPI number?
MID-FLORIDA PROSTHETICS & ORTHOTICS's NPI is 1003022351 — the number used across U.S. healthcare to identify this provider.
Is MID-FLORIDA PROSTHETICS & ORTHOTICS shown as active in public data?
Registry records indicate MID-FLORIDA PROSTHETICS & ORTHOTICS maintains an active NPI.
What expertise is attributed to MID-FLORIDA PROSTHETICS & ORTHOTICS?
MID-FLORIDA PROSTHETICS & ORTHOTICS's specialty line reads Prosthetic/Orthotic Supplier. Clinical services aligned with this taxonomy classification.
Is MID-FLORIDA PROSTHETICS & ORTHOTICS located near Gainesville?
MID-FLORIDA PROSTHETICS & ORTHOTICS currently maps to Gainesville, Florida in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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