Organization
SONLIFE PROSTHETICS & ORTHOTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THERESA J WALKER (CORPORATE OFFICE MANAGER)
(352) 596-2257
Entity
Organization
Contact information
Practice address
720 SOUTHLAND AVE, BUSHNELL, FL 33513-8394
(800) 562-4133
(352) 596-0180
Mailing address
6111 DELTONA BLVD, SPRING HILL, FL 34606-1011
(352) 596-2257
(352) 596-0180
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
POR16
FL
Other
Enumeration date
02/06/2008
Last updated
08/12/2008
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