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John Fredrick, LPO — NPI 1922600345, Gotha, FL | NPI Central

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NPI 1922600345

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John Fredrick, LPO

NPI 1922600345 · Prosthetic/Orthotic Supplier · Gotha, FL

Provider details

NPI number: 1922600345
Entity type: Individual
Primary specialty: Prosthetic/Orthotic SupplierSuppliers
Credential: LPO
Sex: Male
Sole proprietor: Yes
License: POR13 (FL)

Specialties & taxonomies

Prosthetic/Orthotic SupplierPrimary335E00000XLicense POR13 (FL)
Suppliers

Practice location

9259 Lake Fischer Blvd

Gotha, FL 34734-5204

Phone: (850) 247-8975

Approximate (ZIP-level) locationGet directions

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Mailing address

9259 Lake Fischer Blvd

Gotha, FL 34734-5204

Registry dates

Enumerated: 2020-11-10
Last updated: 2020-11-10
Certified: 2020-11-10

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.