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Organization

ORTHOMEDX CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN A FRALEY (PRESIDENT/OWNER)
(407) 422-4526
Entity
Organization

Contact information

Practice address
4629 36TH ST STE 800, ORLANDO, FL 32811
(407) 422-4526
(407) 422-4556
Mailing address
4629 36TH ST STE 800, ORLANDO, FL 32811-6511
(407) 422-4526
(407) 422-4556

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
BUS0024240-001
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R8401
BC BS PROVIDER NUMBER
FL
Enumeration date
11/27/2006
Last updated
06/10/2019
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