# VPN ORTHOTICS AND MEDICAL SUPPLY LLC

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

## Provider details

- **NPI number:** 1629773015
- **Authorized official:** VIKASH MADHUSUDAN NEGANDHI MD (CEO)
- **Authorized official phone:** (954) 218-2945

## Contact information

- **Practice address:** 2 S UNIVERSITY DR STE 325, PLANTATION, FL 33324-3307
- **Practice address phone:** (954) 218-2945
- **Mailing address:** 2 S UNIVERSITY DR STE 325, PLANTATION, FL 33324-3307
- **Mailing address phone:** (954) 218-2945

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/04/2023
- **Last updated:** 06/27/2023