Faatz, Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

PRO36,PRO60,ORT91 Issued in FL

Legal business name

FAATZ, INC

Practice address

210 E Central Ave
Winter Haven, FL 33880-6311

Phone

(863) 291-3000

Fax

(863) 293-7004

NPI assigned

Nov 9, 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, PROSTHETIST

Title

President/Owner

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
  • Lakeland, FL
  • NPI 1073519831
  NPD tax ID

Locations

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750362471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E CENTRAL AVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338806311",
            "telephone_number": "863-291-3000",
            "fax_number": "863-293-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E CENTRAL AVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338806311",
            "telephone_number": "863-291-3000",
            "fax_number": "863-293-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAATZ, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "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": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "863-682-1040",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PROSTHETIST"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "PRO36,PRO60,ORT91",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Winter Haven, FL
• Providers in Winter Haven, 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.