Organization
FIDELITY ORTHOPEDIC INCORPORATED
Active
Parent organization
FIDELITY ORTHOPEDIC INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIDELITY ORTHOPEDIC INC
Authorized official
MR. HILMO HODZIC CP (PRESIDENT)
(937) 228-0682
Entity
Organization
Contact information
Practice address
8514 N MAIN ST, DAYTON, OH 45415-1325
(937) 228-0682
(937) 228-8193
Mailing address
8514 N MAIN ST, DAYTON, OH 45415-1325
(937) 228-0682
(937) 228-8193
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2728347
—
OH
Enumeration date
02/13/2006
Last updated
04/05/2010
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