MID-FLORIDA PROSTHETICS & ORTHOTICS – Prosthetic/Orthotic Supplier, NPI 1578565842

MID-FLORIDA PROSTHETICS & ORTHOTICS is a healthcare provider. based in Gainesville, Florida. specializing in Prosthetic/Orthotic Supplier. The organization holds a License No. ORT 62 (FL). The NPI Number for MID-FLORIDA PROSTHETICS & ORTHOTICS is 1578565842

Main info

Organization
Name
MID-FLORIDA PROSTHETICS & ORTHOTICS
NPI
1578565842
Phone
(352) 331-3399
Address
6608 NW 9TH BLVD
Authorized Official
MR. VICTOR BUSTAMANTE OWNER LPO
Enumeration Date
1 June 2005
Last Update Date
7 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness80
Years active:21State licenses:2Digital endpointsUpdated within 12 months

Provider Addresses for MID-FLORIDA PROSTHETICS & ORTHOTICS

  • 6608 NW 9TH BLVD

    GAINESVILLE, FL 326054207

    Phone: (352) 331-3399

    Fax: (352) 331-9927

    Mailing address matches the actual address.

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)

Past revalidation due date

Earliest CMS due date was 2026-04-30 (43 days ago).

Enrollment records

1

Earliest due date

2026-04-30

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
O20100930041042OProsthetic PersonnelFL2026-04-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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

Is there an official ID for MID-FLORIDA PROSTHETICS & ORTHOTICS in U.S. healthcare records?
The official identifier for MID-FLORIDA PROSTHETICS & ORTHOTICS is NPI 1578565842.
Active or inactive — what applies to MID-FLORIDA PROSTHETICS & ORTHOTICS?
You should see MID-FLORIDA PROSTHETICS & ORTHOTICS as active in CMS-hosted NPPES data.
What clinical focus is listed for MID-FLORIDA PROSTHETICS & ORTHOTICS?
At a glance, MID-FLORIDA PROSTHETICS & ORTHOTICS is tied to Prosthetic/Orthotic Supplier. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MID-FLORIDA PROSTHETICS & ORTHOTICS?
Travel planning: use Gainesville, Florida as the reference point for MID-FLORIDA PROSTHETICS & ORTHOTICS, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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