Sonlife Prosthetics & Orthotics

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

POR16 Issued in FL

Legal business name

SONLIFE PROSTHETICS & ORTHOTICS

Practice address

720 Southland Ave
Bushnell, FL 33513-8394

Phone

(800) 562-4133

Fax

(352) 596-0180

NPI assigned

Feb 6, 2008

Last updated

Aug 12, 2008By 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

Ms. Theresa J Walker

Title

Corporate Office Manager

Phone

(352) 596-2257

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1811175441",
    "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": "720 SOUTHLAND AVE",
            "city": "BUSHNELL",
            "state": "FL",
            "postal_code": "335138394",
            "telephone_number": "800-562-4133",
            "fax_number": "352-596-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONLIFE PROSTHETICS & ORTHOTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CORPORATE OFFICE MANAGER",
        "authorized_official_telephone_number": "352-596-2257",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "POR16",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Bushnell, FL
• Providers in Bushnell, 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 12, 2008; 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.