Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sun State Prosthetics Inc

Organization Prosthetist · NPI 1215954045

Sun State Prosthetics Inc is a Prosthetist in Winter Park, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1444 W Fairbanks Ave
Winter Park, FL 32789-4806
Phone: (407) 629-2866
Fax: (407) 629-4277
Show map & directions

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 number1215954045
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Gano — Owner · (407) 629-2866
NPI enumeratedJuly 16, 2006
Last updated in NPPESSeptember 15, 2016
Mailing address1444 W Fairbanks Ave, Winter Park, FL 32789-4806