Organization
ISLAND COAST ORTHOPEDICS, INC.
Active
Parent organization
ISLAND COAST ORTHOPEDICS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ISLAND COAST ORTHOPEDICS, INC.
Authorized official
MR. JOSHUA RYDER (PRESIDENT)
(239) 573-9003
Entity
Organization
Contact information
Practice address
923 DEL PRADO BLVD S, #204, CAPE CORAL, FL 33990-3652
(239) 573-9003
(239) 573-7722
Mailing address
923 DEL PRADO, #204, CAPE CORAL, FL 33990-2075
(239) 573-9003
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
12/28/2006
Last updated
06/06/2016
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