OrganizationActive
Applied Lighting Inc
NPI 1720025224 · Prosthetic/Orthotic Supplier · Palatka, FL
Provider details
- NPI number
- 1720025224
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Susan Detar, President(386) 328-9424
Specialties & taxonomies
Suppliers
Practice location
101 Sunset PT
Palatka, FL 32177-9018
Phone: (386) 328-9424
Fax: (386) 328-9470
Approximate (ZIP-level) locationGet directions
Mailing address
101 Sunset PT
Palatka, FL 32177-9018
Other names (DBA / former)
- Doing business as
- The Pink Door
- Doing business as
- The Pink Door
Registry dates
- Enumerated
- 2006-06-01
- Last updated
- 2023-03-29
- Certified
- 2023-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.