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

Organization subpart

No

Name

Mr. Steven Lawrence Fries, LPO

Title

President and Owner

Phone

(941) 235-7273

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, last updated by the provider on Aug 22, 2020.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M2531",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Care Anesthesia Specialists Inc

• All providers in Port Charlotte, FL
• 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.