Provider Demographics
NPI:1871278408
Name:LIGHTNING O&P INC.
Entity type:Organization
Organization Name:LIGHTNING O&P INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:PACARRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-964-1447
Mailing Address - Street 1:410 SANTA ROSA CT STE 1044
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-9409
Mailing Address - Country:US
Mailing Address - Phone:407-964-1447
Mailing Address - Fax:855-853-3701
Practice Address - Street 1:410 SANTA ROSA CT STE 1044
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-9409
Practice Address - Country:US
Practice Address - Phone:407-964-1447
Practice Address - Fax:855-853-3701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-20
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies