Sun State Prosthetics Inc

LBN: Sun State Prosthetics Inc
Sun State Prosthetics Inc is an health care organization with primary practice located at 756 Berkshire Rd , Daytona Beach FL 32114-1602. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist, which is considered as the primary health care specialty. Sun State Prosthetics Inc can be contacted via phone (407) 629-2866, or through Gano, Charles F via phone (407) 629-2866.

Contact Information

Primary practice address
756 Berkshire Rd Daytona Beach FL 32114-1602
Phone: (407) 629-2866
Fax: (407) 629-4277
Website:
Map and Directions
Authorized official contact:
Name: Gano, Charles F LCP
Phone: (407) 629-2866

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X PRO 12 Florida

Profile Details

NPI number 1194843797
LBN Legal business name Sun State Prosthetics Inc
DBA Doing business as
Authorized official Gano, Charles F LCP
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 26th, 2007
Last updated Sep 15th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1194843797 NPPES
Florida Other 0662480002 PTAN

Popular Providers