Provider Demographics
NPI:1356627806
Name:ORTHO MEDICAL SERVICES, INC
Entity Type:Organization
Organization Name:ORTHO MEDICAL SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:J
Authorized Official - Last Name:CIELO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:813-835-7550
Mailing Address - Street 1:3710 W EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33629-8725
Mailing Address - Country:US
Mailing Address - Phone:813-835-7550
Mailing Address - Fax:813-835-7557
Practice Address - Street 1:3710 W EUCLID AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33629-8725
Practice Address - Country:US
Practice Address - Phone:813-835-7550
Practice Address - Fax:813-835-7557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-28
Last Update Date:2011-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies