# OMI MEDTECH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MedTech Medical Supply
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235911025
- **Authorized official:** NICK GAFFEY (CEO)
- **Authorized official phone:** (321) 356-9696

## Contact information

- **Practice address:** 3400 SAINT JOHNS PKWY STE 1020, SANFORD, FL 32771-6769
- **Practice address phone:** (407) 680-2196
- **Mailing address:** 3400 SAINT JOHNS PKWY STE 1020, SANFORD, FL 32771-6769
- **Mailing address phone:** (407) 680-2196

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 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