Organization
ISLAND COAST O & P
Active
Other names
Island Coast Orthopedics, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ARLENE RYDER RYDER (CFO)
(239) 573-9003
Entity
Organization
Contact information
Practice address
923 DEL PRADO BLVD S, #204, CAPE CORAL, FL 33990-3652
(239) 573-9003
Mailing address
2003 NE 3RD ST, CAPE CORAL, FL 33909-6314
(239) 573-9003
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
ORT110
FL
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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