MEDICARE: ORTHO MEDICAL SERVICES, INC

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	332B00000X	Durable Medical Equipment & Medical Supplies		FL

General Provider Information

NPI Number	:	1356627806
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHO MEDICAL SERVICES, INC

Provider Business Mailing Address
First Line	:	3710 W EUCLID AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-8725
Country	:	US
Telephone Number	:	813-835-7550
Fax Number	:	813-835-7557

Provider Business Practice Location Address
First Line	:	3710 W EUCLID AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-8725
Country	:	US
Telephone Number	:	813-835-7550
Fax Number	:	813-835-7557

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TODD J CIELO
Credential	:	D.C.
Telephone Number	:	813-835-7550

Provider Enumeration Date	:	10/28/2011
Last Update Date	:	10/28/2011

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