Healthcare Provider Details

I. General information

NPI: 1386619567
Provider Name (Legal Business Name): RYDER ORTHOPAEDICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 TAMIAMI TRL N SUITE 104
NAPLES FL
34102-5248
US

IV. Provider business mailing address

1250 TAMIAMI TRL N
NAPLES FL
34102-5267
US

V. Phone/Fax

Practice location:
  • Phone: 239-643-6673
  • Fax: 239-939-5626
Mailing address:
  • Phone: 239-643-6673
  • 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: LAURA E RYDER
Title or Position: PROSTHETIST/ORTHOTIST
Credential: CPO
Phone: 239-939-0009