Organization Active NPI

Sonlife Prosthetics & Orthotics, Inc.

  • Prosthetic/Orthotic Supplier
  • Spring Hill, FL
National Provider Identifier
1174526396
Registry record updated Mar 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
POR 16 Issued in FL
Legal business name
SONLIFE PROSTHETICS & ORTHOTICS, INC.
Practice address
6111 Deltona Blvd
Spring Hill, FL 34606-1011
Phone
(352) 596-2257
Fax
(352) 596-0180
NPI assigned
May 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2010

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

Authorized official

Name
Mr. David S. Goris, LPO
Title
President
Phone
(352) 596-2257

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X POR 16 FL Primary

Addresses

Primary practice location

6111 Deltona Blvd
Spring Hill, FL 34606-1011

Mailing address

6111 Deltona Blvd
Spring Hill, FL 34606-1011
Phone (352) 596-2257

Other identifiers 1

IdentifierTypeStateIssuer
027898000MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268956800000",
    "number": "1174526396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6111 DELTONA BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346061011",
            "telephone_number": "352-596-2257",
            "fax_number": "352-596-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6111 DELTONA BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346061011",
            "telephone_number": "352-596-2257",
            "fax_number": "352-596-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONLIFE PROSTHETICS & ORTHOTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2010-03-19",
        "status": "A",
        "authorized_official_last_name": "GORIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-596-2257",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "POR 16",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027898000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; 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.