# DJO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DJO, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1023296035
- **Legal business name:** DJO, LLC
- **Authorized official:** MR. ANDRES MORENO III (PRESIDENT)
- **Authorized official phone:** (800) 321-9549

## Contact information

- **Practice address:** 6544 N US HIGHWAY 41 STE 101B, APOLLO BEACH, FL 33572-1714
- **Practice address phone:** (813) 645-8003
- **Practice address fax:** (844) 277-2075
- **Mailing address:** 2900 LAKE VISTA DR STE 200, LEWISVILLE, TX 75067-3889
- **Mailing address phone:** (704) 749-6291
- **Mailing address fax:** (844) 277-2075

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | — |

## Other

- **Enumeration date:** 02/01/2008
- **Last updated:** 10/09/2026