# I MEDICAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** i Medical Supplies, Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487898771
- **Authorized official:** MR. JOHN O. IDEHEN MS. OTR/L CFO (PRESIDENT)
- **Authorized official phone:** (407) 767-8666

## Contact information

- **Practice address:** 420 W STATE ROAD 434, LONGWOOD, FL 32750-5159
- **Practice address phone:** (407) 767-8666
- **Practice address fax:** (321) 256-0664
- **Mailing address:** 420 W STATE ROAD 434, LONGWOOD, FL 32750-5159
- **Mailing address phone:** (407) 767-8666
- **Mailing address fax:** (321) 256-0664

## Taxonomy

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

## Other

- **Enumeration date:** 04/30/2009
- **Last updated:** 04/30/2009