# ORIGIN MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043838485
- **Authorized official:** CHRISTOPHER SPELLMAN (OWNER)
- **Authorized official phone:** (866) 953-5386

## Contact information

- **Practice address:** 224 DATURA ST STE 1309, WEST PALM BEACH, FL 33401-5641
- **Practice address phone:** (305) 619-5378
- **Mailing address:** 224 DATURA ST STE 1309, WEST PALM BEACH, FL 33401-5641
- **Mailing address phone:** (727) 267-8910

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 07/13/2020
- **Last updated:** 03/22/2022