Healthcare Provider Details

I. General information

NPI: 1720910730
Provider Name (Legal Business Name): EDWARD SAPUTO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3525 US HWY 27 N.
SEBRING FL
33870
US

IV. Provider business mailing address

3525 US HWY 27 N.
SEBRING FL
33870
US

V. Phone/Fax

Practice location:
  • Phone: 863-471-6700
  • Fax:
Mailing address:
  • Phone: 863-471-6700
  • Fax: 863-471-3228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License NumberDO6699
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: