JOHN C FREDRICK LPO
NPI 1922600345
Prosthetic/Orthotic Supplier in Gotha, FL
- Individual
- Male
- Prosthetic/Orthotic Supplier
About JOHN FREDRICK
This page provides the complete NPI Profile along with additional information for John Fredrick, a provider established in Gotha, Florida with a medical specialization in Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1922600345 assigned on November 2020. The practitioner's primary taxonomy code is 335E00000X with license number POR13 (FL). The provider is registered as an individual and his NPI record was last updated 6 years ago.
- NPI
- 1922600345 Verify this NPI
- Provider Name
- JOHN C FREDRICK LPO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 9259 LAKE FISCHER BLVD GOTHA, FL 34734
- Location Phone
- (850) 247-8975
- Mailing Address
- 9259 LAKE FISCHER BLVD GOTHA, FL 34734
- Mailing Phone
- (850) 247-8975
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-10-2020
- Last Update Date
- 11-10-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Prosthetic/Orthotic Supplier
- Taxonomy Code
- 335E00000X
- Type
- Suppliers
- License No.
- POR13
- License State
- FL
- Taxonomy Description
- An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922600345, enumerated as an "individual" on November 10, 2020.
The provider is located at 9259 LAKE FISCHER BLVD GOTHA, FL 34734 and the phone number is (850) 247-8975.
Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.
