Organization
CARDINAL PROSTHETICS & ORTHOTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN LAWRENCE FRIES LPO (PRESIDENT AND OWNER)
(941) 235-7273
Entity
Organization
Contact information
Practice address
779 TAMIAMI TRAIL, STE 8, PORT CHARLOTTE, FL 33953
(941) 235-0252
(941) 235-7273
Mailing address
779 TAMIAMI TRAIL, STE 8, PORT CHARLOTTE, FL 33953
(941) 235-0252
(941) 235-7273
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
POR 54
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M2531
BCBS
FL
Enumeration date
08/09/2005
Last updated
08/22/2020
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