NPI Code Details Logo

NPI 1770447260

NPI 1770447260 : ORTHOFLEX MEDICAL SUPPLY LLC : MILWAUKEE, WI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1770447260
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ORTHOFLEX MEDICAL SUPPLY LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/10/2025
-----------------------------------------------------
    Last Update Date     |    12/10/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    790 N MILWAUKEE ST # 30298945 
-----------------------------------------------------
    City                 |    MILWAUKEE
-----------------------------------------------------
    State                |    WI
-----------------------------------------------------
    Zip                  |    53202-3724
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    610-255-7800
-----------------------------------------------------
    Fax                  |    610-255-7800
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1442 POTTSTOWN PIKE STE 272 
-----------------------------------------------------
    City                 |    WEST CHESTER
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    19380-1271
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    610-255-7800
-----------------------------------------------------
    Fax                  |    610-255-7800
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     NELSON  LAMIZANA 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    610-255-7800
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    332B00000X
-----------------------------------------------------
    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.