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SUN STATE PROSTHETICS INC
NPI 1194843797
Prosthetist in Daytona Beach, FL

Active since March 26, 2007
756 BERKSHIRE RD, DAYTONA BEACH, FL 32114(407) 629-2866(407) 629-4277 Get Directions Write a Review

NPPES record last updated: September 15, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sun State Prosthetics Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUN STATE PROSTHETICS INC (NPI 1194843797) is a healthcare organization registered as a prosthetist in Daytona Beach, Florida and active in the NPI registry since March 2007. The organization lists Charles F Gano, Owner, as its authorized official.

NPPES Registry Identity

NPI1194843797
Entity TypeOrganization
Primary Taxonomy224P00000X
Legal Business NameSUN STATE PROSTHETICS INC
Location Address756 BERKSHIRE RDDaytona Beach, FL 32114-1602
Mailing Address1444 W Fairbanks AveWinter Park, FL 32789-4806 · (407) 629-2866
Phone(407) 629-2866
Fax(407) 629-4277
Organization SubpartYes
Authorized OfficialCharles F GanoOwner · (407) 629-2866
Enumeration DateMarch 26, 2007
Last NPPES UpdateSeptember 15, 2016
✔ NPI 1194843797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224P00000X
License✔ Licensed in FL · PRO 12
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
756 BERKSHIRE RD, Daytona Beach, FL 32114
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Other Identifiers 1

Other0662480002FL · Ptan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories Sun State Prosthetics Inc carries, from the Medicare DMEPOS supplier directory.

Sun State Prosthetics Inc

DMEPOS supplier · Daytona Beach, FL
✔

Accepts Medicare assignment

Sun State Prosthetics Inc agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20649275
Medicare Participant SinceJanuary 1, 1998
Supplier Location756 Berkshire RdDaytona Beach, FL 32114
Phone(386) 239-0650
Supplier Specialties
Prosthetic Personnel

Medicare Product Categories

Limb Prostheses
Prosthetic arms, Prosthetic feet, Prosthetic knees
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sun State Prosthetics Inc's NPI number?

The NPI number for Sun State Prosthetics Inc is 1194843797. It was assigned to this organization in the NPPES registry on March 26, 2007.

Where is Sun State Prosthetics Inc located?

Sun State Prosthetics Inc is located at 756 Berkshire Rd, Daytona Beach, FL 32114. The listed phone number is (407) 629-2866.

What is Sun State Prosthetics Inc's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

Does Sun State Prosthetics Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Sun State Prosthetics Inc accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Sun State Prosthetics Inc was last updated on September 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.