Spartan Capital Investments

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

SPARTAN CAPITAL INVESTMENTS

Practice address

1621 E Edgewood Dr Ste B
Lakeland, FL 33803-3365

Phone

(863) 688-8335

NPI assigned

Jul 20, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Zachary Bernal

Title

Manager

Phone

(863) 688-8335

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1003424680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 E EDGEWOOD DR STE B",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338033365",
            "telephone_number": "863-688-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 E EDGEWOOD DR STE B",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338033365",
            "telephone_number": "863-688-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTAN CAPITAL INVESTMENTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "BERNAL",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "863-688-8335",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.