Sun State Prosthetics Inc
Sun State Prosthetics Inc provides Prosthetist services in Daytona Beach, Florida. Licensed in Florida. Registered with an NPI since 2007.
- Licensed in
- FL
- In the registry since
- 2007
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
756 Berkshire RdDaytona Beach, FL 32114-1602 Not confirmed with CMS for 10 years — call before visiting
Phone: (407) 629-2866
Fax: (407) 629-4277
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthetist (primary) | Taxonomy 224P00000X · Licence PRO 12 (FL) |
|---|
Record details
| NPI number | 1194843797 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Sun State Prosthetics Inc |
| Authorized official | Charles Gano — Owner · (407) 629-2866 |
| NPI enumerated | March 26, 2007 |
| Last updated in NPPES | September 15, 2016 |
| Mailing address | 1444 W Fairbanks Ave, Winter Park, FL 32789-4806 |