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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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