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

779 Tamiami Trail
Ste 8
Port Charlotte, FL 33953

Phone

(941) 235-0252

Fax

(941) 235-7273

NPI assigned

Aug 9, 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 and Owner

Phone

(941) 235-7273

Specialties & licenses 1

Addresses

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
  • Fort Myers, FL
  • NPI 1063414993
  NPD tax ID

Locations

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528069192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "779 TAMIAMI TRAIL",
            "address_2": "STE 8",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "33953",
            "telephone_number": "941-235-0252",
            "fax_number": "941-235-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "779 TAMIAMI TRAIL",
            "address_2": "STE 8",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "33953",
            "telephone_number": "941-235-0252",
            "fax_number": "941-235-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL PROSTHETICS & ORTHOTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "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 AND OWNER",
        "authorized_official_telephone_number": "941-235-7273",
        "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": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Port Charlotte, FL
• Providers in Port Charlotte, 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.