Organization
ORTHOCARE ORTHOTICS AND PROSTHETICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL PATRICK ODONELL CO (ORTHOTIST PRESIDENT)
(352) 787-0065
Entity
Organization
Contact information
Practice address
379 FENNELL BLVD, LADY LAKE, FL 32159-3185
(352) 751-7265
(352) 751-4447
Mailing address
PO BOX 207, LADY LAKE, FL 32158-0207
(352) 751-7265
(352) 751-4447
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1312064
FL
335E00000X
Prosthetic/Orthotic Supplier
Primary
ORT 61
FL
335E00000X
Prosthetic/Orthotic Supplier
PRO91
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022881800
—
FL
Enumeration date
08/20/2006
Last updated
01/21/2026
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