Provider Demographics
NPI:1508800921
Name:SAUNDERS PROSTHETICS & ORTHOTICS INC.
Entity Type:Organization
Organization Name:SAUNDERS PROSTHETICS & ORTHOTICS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:E
Authorized Official - Last Name:SAUNDERS SANTOS
Authorized Official - Suffix:
Authorized Official - Credentials:COP, LPO
Authorized Official - Phone:407-870-8081
Mailing Address - Street 1:1910 N CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-2331
Mailing Address - Country:US
Mailing Address - Phone:407-870-8081
Mailing Address - Fax:407-870-5447
Practice Address - Street 1:1910 N CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-2331
Practice Address - Country:US
Practice Address - Phone:407-870-8081
Practice Address - Fax:407-870-5447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-15
Last Update Date:2009-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPOR7335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5027390001Medicare NSC