John C Fredrick, LPO

NPI #1922600345 in Gotha, Florida

Provider Information

NPI Number
1922600345
Entity Type
Individual
Name
John C Fredrick, LPO
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Prosthetic/Orthotic Supplier
Credential
LPO
Enumeration Date
Nov 10, 2020
Last Updated
Nov 10, 2020

Practice Location

Address
9259 LAKE FISCHER BLVD
City
Gotha
State
Florida
ZIP Code
34734-5204
Phone
(850) 247-8975

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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