Organization
BLUE DIAMOND ORTHOPEDIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HENDRICKS CPO (PRESIDENT)
(407) 613-2001
Entity
Organization
Contact information
Practice address
6439 MILNER BLVD STE 4, ORLANDO, FL 32809-6692
(407) 613-2001
(407) 613-2010
Mailing address
6439 MILNER BLVD STE 4, ORLANDO, FL 32809-6692
(407) 613-2001
(407) 613-2010
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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