Faatz, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

PRO36,PRO60,ORT91,OR Issued in FL

Legal business name

FAATZ, INC.

Practice address

2606 Lakeland Hills Blvd
Lakeland, FL 33805-2218

Phone

(863) 682-1040

NPI assigned

Jun 24, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bruce M Wooley, CPO, LICENSED PROS

Title

Owner/President

Phone

(863) 682-1040

Specialties & licenses 1

Addresses

Tax ID family

Faatz Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Faatz, Inc

  • Prosthetic/Orthotic Supplier
  • Winter Haven, FL
  • NPI 1750362471
  NPD tax ID

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073519831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338052218",
            "telephone_number": "863-682-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338052218",
            "telephone_number": "863-682-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAATZ, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOOLEY",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "863-682-1040",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO, LICENSED PROS"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "PRO36,PRO60,ORT91,OR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ibrahim Fadeyi
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• Benjamin Jacob Fagan

• 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 Aug 22, 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.