Sun State Prosthetics Inc.

LBN: Sun State Prosthetics Inc.
Sun State Prosthetics Inc. is an health care organization with primary practice located at 1444 W Fairbanks Ave , Winter Park FL 32789-4806. 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 Frederick via phone (407) 629-2866.

Contact Information

Primary practice address
1444 W Fairbanks Ave Winter Park FL 32789-4806
Phone: (407) 629-2866
Fax: (407) 629-4277
Website:
Map and Directions
Authorized official contact:
Name: Gano, Charles Frederick L.C.P.
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 1215954045
LBN Legal business name Sun State Prosthetics Inc.
DBA Doing business as
Authorized official Gano, Charles Frederick L.C.P.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215954045 NPPES
Florida Other 0662480001 PTAN

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