Organization · NPI-2

Hanger Prosthetics & Orthotics East INC

Prosthetic/Orthotic Supplier · Lakeland, FL

NPI number1407920382
StatusActive
Last updated in NPPESMar 28, 2023

Details

NPI
1407920382
Entity type
Organization (NPI-2)
Legal business name
Hanger Prosthetics & Orthotics East INC
Organization subpart
Yes
Enumeration date
Nov 20, 2006
Certification date
Mar 28, 2023
Last updated
Mar 28, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
335E00000X Prosthetic/Orthotic Supplier––Yes
332B00000X Durable Medical Equipment & Medical Supplies––

Other names

  • Hanger Clinic (Doing Business As)

Practice location

1205 E Orange St
Lakeland, FL 33801-5762

Phone 863-682-6696

Mailing address

Po Box 650846
Dallas, TX 75265-0846

Authorized official

Grace Angeline
Reg Compliance Specialist IV
7149612102

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