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Organization
ORIGIN MEDICAL LLC
Active
Organization
ORIGIN MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER SPELLMAN (OWNER)
(866) 953-5386
Entity
Organization
Contact information
Practice address
224 DATURA ST STE 1309, WEST PALM BEACH, FL 33401-5641
(305) 619-5378
Mailing address
224 DATURA ST STE 1309, WEST PALM BEACH, FL 33401-5641
(727) 267-8910
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
332BC3200X
Customized Equipment (DME)
—
NULL
Other
Enumeration date
07/13/2020
Last updated
03/22/2022
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