Power Prosthetic Solutions LLC
Organization Active NPI Prosthetic/Orthotic Supplier · Gotha, FL
NPI 1851982201 · NPPES record last updated Jan 28, 2021
Key facts
- NPI
- 1851982201
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Prosthetic/Orthotic Supplier 335E00000X
- Legal business name
- POWER PROSTHETIC SOLUTIONS LLC
- Practice address
- 9259 Lake Fischer Blvd
Gotha, FL 34734-5204 - Phone
- (850) 247-8975
- NPI assigned
- Jan 28, 2021
- Organization subpart
- No
Authorized official
- Name
- Michelle Fredrick
- Title
- Office Manager
- Phone
- (850) 247-8975
Practitioners 2
-
John C Fredrick, LPO
-
Michelle Fredrick, LPN
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Yes |
Addresses
Primary practice location
9259 Lake Fischer Blvd
Gotha, FL 34734-5204
Mailing address
9259 Lake Fischer Blvd
Gotha, FL 34734-5204
Other providers in Gotha, FL
- Darrell B McGee
- Clayton Alencar Moreira
- Nebula Medical LLC
- Orange Avenue Consulting
- Thais Pedrosa Ribeiro de Oliveira
- Eugene Quiambao
- Gwen Richman
- Christopher Raymond Rotondo
- Seven Sounds Music Therapy LLC
- Mario Pajarillaga Sta Maria Jr.
All providers in Gotha, FL · Prosthetic/Orthotic Supplier in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.