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Sun State Prosthetics Inc.

NPI 1215954045ActiveOrganization· Prosthetist· Winter Park, FL

Prosthetist in Winter Park, Florida, registered in NPPES in July 2006. The authorized official on file is Charles Frederick Gano, L.C.P., Owner. Enrolled in Medicare as dme supplier - prosthetic personnel.

Overview

NPI1215954045
StatusActive
Entity typeOrganization
NPI issuedJul 16, 2006
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)Enrolled DME Supplier - Prosthetic Personnel (FL)

Medicare sources and data years