Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN C FREDRICK, LPO
Active Sole ProprietorJOHN C FREDRICK, LPO is a Prosthetic/Orthotic Supplier healthcare provider located in GOTHA, Florida. NPI 1922600345 is currently active in the NPPES registry. Verify at CMS.
Prosthetic/Orthotic Supplier · GOTHA, FL
Registration Details
- NPI Number
- 1922600345
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 10, 2020 (5.7794236361252 yrs)
- Last Updated
- Nov 10, 2020
- License
-
POR13 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9259 LAKE FISCHER BLVDGOTHA, FL, 347345204Browse FL providers · Browse ZIP 34734
- Phone
- 8502478975
- Primary Specialty
-
Prosthetic/Orthotic Supplier
335E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.