Healthcare Provider Details

I. General information

NPI: 1558325480
Provider Name (Legal Business Name): SNG LABS-SNG PROSTHETIC EYE INSTITUTE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2006
Last Update Date: 08/15/2022
Certification Date: 08/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16244 S MILITARY TRL SUITE 420
DELRAY BEACH FL
33484-6534
US

IV. Provider business mailing address

16244 S MILITARY TRL STE 420
DELRAY BEACH FL
33484-6505
US

V. Phone/Fax

Practice location:
  • Phone: 561-391-7099
  • Fax: 561-392-1039
Mailing address:
  • Phone: 561-391-7099
  • Fax: 561-354-5367

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MRS. NICOLE BETH GARONZIK
Title or Position: PRESIDENT
Credential:
Phone: 561-391-7099