# IMEDICAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** I MEDICAL SUPPLIES, INC.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447491493
- **Authorized official:** MR. JOHN O. IDEHEN OTR/L MS COF (PRESIDENT)
- **Authorized official phone:** (407) 331-3312

## Contact information

- **Practice address:** 420 W STATE ROAD 434, LONGWOOD, FL 32750-6427
- **Practice address phone:** (407) 331-3312
- **Practice address fax:** (321) 256-0664
- **Mailing address:** 420 W STATE ROAD 434, LONGWOOD, FL 32750-6427
- **Mailing address phone:** (407) 331-3312
- **Mailing address fax:** (321) 256-0664

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | OT7106 | FL | Yes |
| 335E00000X | Prosthetic/Orthotic Supplier | OFA213 | FL | — |

## Other

- **Enumeration date:** 03/19/2009
- **Last updated:** 07/15/2010