AMPUTEE CLINIC INC. NPI 1295730216

NPI Information

AMPUTEE CLINIC, INC. is a prosthetic orthotic supplier in Fort Myers, FL. The provider is 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. AMPUTEE CLINIC, INC. NPI is 1295730216. The provider is registered as an organization entity type.

The provider's business location address is:

7051 CYPRESS TER
#108
FORT MYERS, FL
ZIP 33907-822
Phone: (239) 437-4010
Fax: (239) 437-4097

The provider's authorized official is Marcum R Randall .
The authorized official title is PRESIDENT PT CP LPOLpo and has the following contact phone number (239) 437-4010.

The enumeration date for this NPI number is 6/16/2005 and was last updated on 8/30/2012.

Taxonomy Codes

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Other Identifiers

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