NPI: 1245469824 · LAKELAND, FL 33805 · Prosthetic/Orthotic Supplier · NPI assigned 07/05/2009
| Authorized Official | CROWE, CLARENCE (CPO LP) |
| NPI Enumeration Date | 07/05/2009 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 62 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A5500 | For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe | 62 | 24 | $1K |