Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922600345 Individual Practitioner Male Practitioner

John C Fredrick , LPO

Prosthetic/Orthotic Supplier • Gotha, FL

Professional Overview & Biography Verified Profile Summary

John Fredrick, LPO is a registered healthcare professional specializing in Prosthetic/Orthotic Supplier in Gotha, FL. Practice services are available at 9259 LAKE FISCHER BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9259 Lake Fischer Blvd

Gotha, FL 347345204

Telephone 8502478975
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Prosthetic/Orthotic Supplier in Gotha, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Gotha, FL (96 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-11-10
Prosthetic/Orthotic Supplier Primary Specialty

NUCC Taxonomy Code: 335E00000X

State License FL POR13

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Michelle Fredrick , LPN

Licensed Practical Nurse

NPI 1871189977

Licensed Practical Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 10, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location November 10, 2020

Registered at 9259 LAKE FISCHER BLVD, GOTHA, FL 347345204 (Tel: 8502478975)

📍
Updated Business Mailing Address November 10, 2020

Registered at 9259 LAKE FISCHER BLVD, GOTHA, FL 347345204 (Tel: 8502478975)

👤
Provider Name / Credentials Updated November 10, 2020

Recorded as JOHN FREDRICK, LPO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2020

Prosthetic/Orthotic Supplier (License #POR13 in FL)

🟢
Initial NPI Registration & Enumeration November 10, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922600345
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 10, 2020
Last Update: November 10, 2020
Sole Proprietor: Yes

Mailing Address

9259 Lake Fischer Blvd

Gotha, FL 347345204

Phone: 8502478975

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.