Organization
I MEDICAL, INC.
Active
Other names
i Medical Supplies, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN O. IDEHEN MS. OTR/L CFO (PRESIDENT)
(407) 767-8666
Entity
Organization
Contact information
Practice address
420 W STATE ROAD 434, LONGWOOD, FL 32750-5159
(407) 767-8666
(321) 256-0664
Mailing address
420 W STATE ROAD 434, LONGWOOD, FL 32750-5159
(407) 767-8666
(321) 256-0664
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
04/30/2009
Last updated
04/30/2009
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