Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

John C Fredrick, LPO

Individual provider Prosthetic/Orthotic Supplier · NPI 1922600345

John C Fredrick, LPO is a Prosthetic/Orthotic Supplier in Gotha, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2020
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Practice location Address checks out

9259 Lake Fischer Blvd
Gotha, FL 34734-5204
Phone: (850) 247-8975
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X · Licence POR13 (FL)

Record details

NPI number1922600345
Entity typeIndividual (Type 1)
GenderMale
Credentials LPO
Sole proprietorYes
NPI enumeratedNovember 10, 2020
Last updated in NPPESNovember 10, 2020
Certification dateNovember 10, 2020
Mailing address9259 Lake Fischer Blvd, Gotha, FL 34734-5204

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