Organization
CARDINAL PROSTHETICS & ORTHOTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN LAWRENCE FRIES LPO (PRESIDENT/OWNER)
(239) 995-4777
Entity
Organization
Contact information
Practice address
13240 N CLEVELAND AVE, SUITE #1, FORT MYERS, FL 33903-4855
(239) 995-4777
(239) 995-9777
Mailing address
13240 N CLEVELAND AVE, SUITE #1, FORT MYERS, FL 33903-4855
(239) 995-4777
(239) 995-9777
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
POR 54
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M2613
BCBS
FL
Enumeration date
08/11/2005
Last updated
08/22/2020
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