Organization
SUNCOAST ORTHOTICS AND PROSTHETICS, INC.
Active
Parent organization
HANGER INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HANGER INC
Authorized official
MS. SHERYL S PRICE (DIRECTOR OF REIMBURSEMENT)
(503) 493-8288
Entity
Organization
Contact information
Practice address
200 TAMIAMI TRL N STE I, VENICE, FL 34285-1914
(941) 484-2451
(941) 485-2038
Mailing address
PO BOX 650846, DALLAS, TX 75265-0846
(941) 484-2451
(941) 485-2038
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027717700
—
FL
01
—
201645
BLUE CROSS & BLUE SHIELD
PA
01
—
213266
AMERIGROUP
FL
01
—
50665
AMERICAN BENEFIT
—
01
—
50666
NORTHWOOD NPN
—
01
—
M0511
BLUE CROSS & BLUE SHIELD
FL
Enumeration date
01/02/2007
Last updated
12/12/2013
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