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CARDINAL PROSTHETICS & ORTHOTICS INC NPI 1528069192


NPI Information

NPI: 1528069192
Provider Name: CARDINAL PROSTHETICS & ORTHOTICS INC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
779 TAMIAMI TRAIL
STE 8
PORT CHARLOTTE, FL
ZIP 33953
Phone: (941) 235-0252
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CARDINAL PROSTHETICS & ORTHOTICS INC is a prosthetic orthotic supplier in Port Charlotte, 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. CARDINAL PROSTHETICS & ORTHOTICS INC NPI is 1528069192. The provider is registered as an organization entity type.

The provider's business location address is:

779 TAMIAMI TRAIL
STE 8
PORT CHARLOTTE, FL
ZIP 33953
Phone: (941) 235-0252
Fax: (941) 235-7273

The provider's authorized official is Steven Lawrence Fries .
The authorized official title is President And Owner and has the following contact phone number (941) 235-7273.

The enumeration date for this NPI number is 8/9/2005 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1335E00000XProsthetic/Orthotic SupplierPOR 54FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1M2531OTHERFLORIDABCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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