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Organization

IMEDICAL, INC.

Active
Other names
I MEDICAL SUPPLIES, INC.
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN O. IDEHEN OTR/L MS COF (PRESIDENT)
(407) 331-3312
Entity
Organization

Contact information

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

Taxonomy

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

Other

Enumeration date
03/19/2009
Last updated
07/15/2010
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