MEDICARE: CRANIAL TECHNOLOGIES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BC3200X	Customized Equipment (DME)
2	335E00000X	Prosthetic/Orthotic Supplier

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093183824
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CRANIAL TECHNOLOGIES INC

Provider Business Mailing Address
First Line	:	1405 W AUTO DR FL 2
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85284-1016
Country	:	US
Telephone Number	:	866-362-2263
Fax Number	:	480-705-0960

Provider Business Practice Location Address
First Line	:	2902 N ORANGE AVE
Second Line	:	SUITE C
City	:	ORLANDO
State	:	FL
Zip	:	32804-4605
Country	:	US
Telephone Number	:	866-362-2263
Fax Number	:	844-595-5183

Authorized Official
Title or Position	:	NATIONAL FACILITY DIRECTOR
Name	:	TAMMY JONES
Credential	:
Telephone Number	:	866-362-2263

Provider Enumeration Date	:	09/10/2015
Last Update Date	:	08/24/2021

Similar Medicare Providers

1275580557 — DR. DANUTA DEEB MD
Practice Location Address:

2902 N ORANGE AVE , SUITE D
ORLANDO, FL
32804-4605

Practice Phone: 407-898-4116
Practice Fax: 407-894-1091

1366678674 — F. JORGE GONZALEZ M.D PA
Practice Location Address:

2902 N ORANGE AVE , L
ORLANDO, FL
32804-4605

Practice Phone: 407-447-1628
Practice Fax: 321-422-4651

1033573316 — JOEL DAYTON
Practice Location Address:

2902 N ORANGE AVE , 205
ORLANDO, FL
32804-4605

Practice Phone: 407-286-5926
Practice Fax:

1841654191 — DR. CRYSTAL JOY NIX DAYTON D.C.
Practice Location Address:

2902 N ORANGE AVE , #205
ORLANDO, FL
32804-4605

Practice Phone: 954-557-2720
Practice Fax:

1366896516 — CLEAR ROUTE HEALTH PARTNERS LLC
Practice Location Address:

2902 N ORANGE AVE , 205
ORLANDO, FL
32804-4605

Practice Phone: 407-286-5926
Practice Fax:

1205011673 — WALGREEN CO
Practice Location Address:

5903 S ORANGE BLOSSOM TRL
ORLANDO, FL
32809-4605

Practice Phone: 407-240-6199
Practice Fax: 407-240-7474

Directions to “CRANIAL TECHNOLOGIES INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.