Active NPI
Sonlife Prosthetics & Orthotics, Inc.
- Prosthetic/Orthotic Supplier
- Spring Hill, FL
National Provider Identifier
1174526396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- POR 16
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 027898000 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI 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.