Active NPI
I Medical, Inc.
Doing business as i Medical Supplies, Inc
- Durable Medical Equipment & Medical Supplies
- Longwood, FL
National Provider Identifier
1487898771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- I MEDICAL, INC.
- Doing business as
- i Medical Supplies, Inc
- Practice address
- 420 W State Road 434
Longwood, FL 32750-5159 - Phone
- (407) 767-8666
- Fax
- (321) 256-0664
- NPI assigned
- Apr 30, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John O. Idehen, MS. OTR/L CFO
- Title
- President
- Phone
- (407) 767-8666
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Prosthetic/Orthotic Supplier | 335E00000X |
Addresses
Primary practice location
420 W State Road 434
Longwood, FL 32750-5159
Mailing address
420 W State Road 434
Longwood, FL 32750-5159
Phone (407) 767-8666
Other names 1
- i Medical Supplies, Inc
National Provider Directory
National Provider Directory- Tax ID family
- I Medical Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba I Medical Supplies, Inc.
- Durable Medical Equipment & Medical Supplies
- Longwood, FL
- NPI 1447491493
Locations
420 W State Road 434
Longwood, FL 32750
Phone (407) 331-3312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1241049600000",
"number": "1487898771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 W STATE ROAD 434",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327505159",
"telephone_number": "407-767-8666",
"fax_number": "321-256-0664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 W STATE ROAD 434",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327505159",
"telephone_number": "407-767-8666",
"fax_number": "321-256-0664"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "I MEDICAL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-30",
"last_updated": "2009-04-30",
"status": "A",
"authorized_official_last_name": "IDEHEN",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "O.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "407-767-8666",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MS. OTR/L CFO"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "i Medical Supplies, Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Longwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.