Provider Demographics
NPI:1265015622
Name:UNITY PROSTHETICS AND ORTHOTICS
Entity Type:Organization
Organization Name:UNITY PROSTHETICS AND ORTHOTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:JUMP
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:407-232-9944
Mailing Address - Street 1:725 PRIMERA BLVD STE 205
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-2127
Mailing Address - Country:US
Mailing Address - Phone:407-232-9944
Mailing Address - Fax:407-232-9966
Practice Address - Street 1:725 PRIMERA BLVD STE 205
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-2127
Practice Address - Country:US
Practice Address - Phone:407-232-9944
Practice Address - Fax:407-232-9966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-04
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier