Organization
O&P ASSOCIATES OF CHARLOTTE CTY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN G MARTIN LCPO (MANAGER)
(941) 629-9689
Entity
Organization
Contact information
Practice address
21216 OLEAN BLVD STE 1, PORT CHARLOTTE, FL 33952-6722
(941) 629-9689
(941) 629-9693
Mailing address
21216 OLEAN BLVD STE 1, PORT CHARLOTTE, FL 33952-6722
(941) 629-9689
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
POR105
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO8454429
MEDICARE SUBMITTER ID
FL
Enumeration date
04/16/2007
Last updated
12/01/2008
Update your record
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