Individual provider · Type 1 NPI
John C. Fredrick, LPO
Prosthetic/Orthotic Supplier · Gotha, FL
Practice location
9259 Lake Fischer Blvd
Gotha, FL 34734-5204
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | POR13 (FL) |
Prosthetic/Orthotic Supplier: 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.
2 other providers at this address
About NPI 1922600345
John C. Fredrick, LPO's National Provider Identifier is 1922600345, issued on Nov 10, 2020. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Gotha, FL. The record was last updated on Nov 10, 2020.