Provider Demographics
NPI:1932191244
Name:RYDER ORTHOPAEDICS INC.
Entity Type:Organization
Organization Name:RYDER ORTHOPAEDICS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:OWEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-939-0009
Mailing Address - Street 1:PO BOX 61803
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33906-1803
Mailing Address - Country:US
Mailing Address - Phone:239-939-0009
Mailing Address - Fax:239-939-5626
Practice Address - Street 1:33 BARKLEY CIR
Practice Address - Street 2:SUITE 110
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-7532
Practice Address - Country:US
Practice Address - Phone:239-939-0009
Practice Address - Fax:239-939-5626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-22
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL221188OtherAVMED
FLM1167OtherBCBS
FL027445300Medicaid
FL221188OtherAVMED