Cardinal Prosthetics & Orthotics Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

POR 54 Issued in FL

Legal business name

CARDINAL PROSTHETICS & ORTHOTICS INC

Practice address

13240 N Cleveland Ave
Suite #1
Fort Myers, FL 33903-4855

Phone

(239) 995-4777

Fax

(239) 995-9777

NPI assigned

Aug 11, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Steven Lawrence Fries, LPO

Title

President/Owner

Phone

(239) 995-4777

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Cardinal Prosthetics Orthotics Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Cardinal Prosthetics & Orthotics Inc

  • Prosthetic/Orthotic Supplier
  • Port Charlotte, FL
  • NPI 1528069192
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063414993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13240 N CLEVELAND AVE",
            "address_2": "SUITE #1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339034855",
            "telephone_number": "239-995-4777",
            "fax_number": "239-995-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13240 N CLEVELAND AVE",
            "address_2": "SUITE #1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339034855",
            "telephone_number": "239-995-4777",
            "fax_number": "239-995-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL PROSTHETICS & ORTHOTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRIES",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "239-995-4777",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "POR 54",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M2613",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luis Cardentey, M.D.
• Roxana Caridad Cardet
• Cardiac Cath Lab of Fort Myers LP
• Cardiac Cin of Naples LLC
• Cardiac Surgical Associates of Southwest Florida, M.D., P.a.
• Cardiology Consultants of Southwest Florida, Inc. (Cardiology Consultants of Clinton)
• Alexandra Cardona Solorzano
• Krystle A Cardona, HAS
• Rachel H Cardonet
• Anna Camille Cardwell, CAA

• Prosthetic/Orthotic Supplier in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.