MEDICARE: FLEXUS MEDICAL

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

General Provider Information

NPI Number	:	1639830649
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLEXUS MEDICAL

Provider Business Mailing Address
First Line	:	6532 VIA ROSA
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33433-6465
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3531 W FULLERTON AVE UNIT STO
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-2417
Country	:	US
Telephone Number	:	773-666-5633
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	GUSTAVO URBINA
Credential	:
Telephone Number	:	773-495-3796

Provider Enumeration Date	:	01/03/2022
Last Update Date	:	01/03/2022

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Directions to “FLEXUS MEDICAL ” Practice Location

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