Valentina Ductan, CRANIAL PROSTHESIS S

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Practice address

112 S 2ND St Ste 21
Lake Wales, FL 33853-4148

Phone

(863) 956-7396

NPI assigned

Mar 13, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1741824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742601600000",
    "number": "1376343905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 S 2ND ST STE 21",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S 2ND ST STE 21",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534148",
            "telephone_number": "863-956-7396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCTAN",
        "first_name": "VALENTINA",
        "credential": "CRANIAL PROSTHESIS S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-03-22",
        "certification_date": "2025-03-22",
        "status": "A"
    },
    "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 Lake Wales, FL
• Providers in Lake Wales, 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 Mar 22, 2025; 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.