MEDICARE: ORTHO FLEX MEDICAL, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier

General Provider Information

NPI Number	:	1205150513
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHO FLEX MEDICAL, LLC

Provider Business Mailing Address
First Line	:	1436 NE 57TH PL
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33334-6120
Country	:	US
Telephone Number	:	954-495-2388
Fax Number	:	954-839-6257

Provider Business Practice Location Address
First Line	:	1436 NE 57TH PL
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33334-6120
Country	:	US
Telephone Number	:	954-495-2388
Fax Number	:	954-839-6257

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. OHAD JEHASSI
Credential	:
Telephone Number	:	954-495-2388

Provider Enumeration Date	:	03/16/2010
Last Update Date	:	03/16/2010

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Directions to “ORTHO FLEX MEDICAL, LLC ” Practice Location

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