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Organization
OMI MEDTECH LLC
Active
Organization
OMI MEDTECH LLC
Active
Other names
MedTech Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
NICK GAFFEY (CEO)
(321) 356-9696
Entity
Organization
Contact information
Practice address
3400 SAINT JOHNS PKWY STE 1020, SANFORD, FL 32771-6769
(407) 680-2196
Mailing address
3400 SAINT JOHNS PKWY STE 1020, SANFORD, FL 32771-6769
(407) 680-2196
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
332BD1200X
Dialysis Equipment & Supplies (DME)
—
NULL
332BN1400X
Nursing Facility Supplies (DME)
—
NULL
332BX2000X
Oxygen Equipment & Supplies (DME)
—
NULL
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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