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Sun State Prosthetics Inc

NPI 1194843797ActiveOrganization· Prosthetist· Daytona Beach, FL

Prosthetist in Daytona Beach, Florida, registered in NPPES in March 2007, part of Sun State Prosthetics Inc. The authorized official on file is Charles F. Gano, LCP, Owner.

Overview

NPI1194843797
StatusActive
Entity typeOrganization (subpart)
Parent organizationSun State Prosthetics Inc
NPI issuedMar 26, 2007
Last updated in NPPESSep 15, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Prosthetist Primary224P00000XPRO 12FL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years