Healthcare Provider Details

I. General information

NPI: 1679738165
Provider Name (Legal Business Name): HANGER PROSTHETICS & ORTHOTICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2008
Last Update Date: 09/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1271 KASS CIR SUITE 102
SPRING HILL FL
34606-4308
US

IV. Provider business mailing address

1271 KASS CIR SUITE 102
SPRING HILL FL
34606-4308
US

V. Phone/Fax

Practice location:
  • Phone: 352-688-2930
  • Fax:
Mailing address:
  • Phone: 352-688-2930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: SHERY S PRICE
Title or Position: DIRECTOR OF REIMBURSEMENT
Credential:
Phone: 503-493-8288