Organization
ORTHO MART INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROLANDO MARTINEZ (PRESIDENT)
(786) 470-6655
Entity
Organization
Contact information
Practice address
14025 SW 142ND AVE, SUITE 19, MIAMI, FL 33186-6756
(786) 470-6655
(305) 378-0568
Mailing address
14025 SW 142ND AVE, SUITE 19, MIAMI, FL 33186-6756
(786) 470-6655
(305) 378-0568
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
PENDING MEDICARE
FL
Enumeration date
04/13/2011
Last updated
05/03/2011
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