| Doctor Name: | MR. JAY J RHODES |
| NPI Number: | 1023444361 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.O.F. |
| License Number: | ORF119 |
| Business Practice Address: | 621 Cape Coral Pkwy E Suite 1 Cape Coral, FL - 339047515 |
| Business Phone Number: | 2395419480 |
| Business Fax Number: | 8885373611 |
| Mailing Address: | 4706 Chiquita Blvd S # 200, Pmb 408 CAPE CORAL |
| State: | FL |
| Postal Code: | 339146321 |
| Phone Number: | 2395419480 |
| Fax Number: | 8885373611 |
| NPI Enumeration Date: | 09/18/2013 |
| NPI Last Update Date: | 12/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225000000X |
| License Number: | ORF119 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Orthotic Fitter |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual trained in the management of fitting prefabricated orthoses. |