MEDICARE: OUTDOOR PRODUCT SOLUTIONS 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	305S00000X	Point of Service

General Provider Information

NPI Number	:	1528207826
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OUTDOOR PRODUCT SOLUTIONS INC

Provider Business Mailing Address
First Line	:	3101 SW 34TH AVE STE 905-411
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34474-7447
Country	:	US
Telephone Number	:	786-326-6220
Fax Number	:

Provider Business Practice Location Address
First Line	:	3101 SW 34TH AVE STE 905-411
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34474-7447
Country	:	US
Telephone Number	:	786-326-6220
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JOSE ORTIGOZA
Credential	:
Telephone Number	:	786-326-6220

Provider Enumeration Date	:	02/10/2009
Last Update Date	:	02/10/2009

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Directions to “OUTDOOR PRODUCT SOLUTIONS INC ” Practice Location

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