Healthcare Provider Details

I. General information

NPI: 1932191244
Provider Name (Legal Business Name): RYDER ORTHOPAEDICS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2005
Last Update Date: 06/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 BARKLEY CIR SUITE 110
FORT MYERS FL
33907-7532
US

IV. Provider business mailing address

PO BOX 61803
FORT MYERS FL
33906-1803
US

V. Phone/Fax

Practice location:
  • Phone: 239-939-0009
  • Fax: 239-939-5626
Mailing address:
  • Phone: 239-939-0009
  • Fax: 239-939-5626

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MS. PATRICIA ANN OWEN
Title or Position: OFFICE MANAGER
Credential:
Phone: 239-939-0009