# M-TECH ORTHOTICS INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255451621
- **Authorized official:** LESLEY J. GRAVES-BOYNTON (PRESIDENT)
- **Authorized official phone:** (407) 761-5869

## Contact information

- **Practice address:** 545 DELANEY AVE, BLDG.1-B, ORLANDO, FL 32801-3866
- **Practice address phone:** (407) 761-5869
- **Practice address fax:** (407) 291-7456
- **Mailing address:** 7718 DEBEAUBIEN DR, ORLANDO, FL 32835-8126
- **Mailing address phone:** (800) 318-4199
- **Mailing address fax:** (407) 291-7456

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | ORF175 | FL | Yes |

## Other

- **Enumeration date:** 03/30/2007
- **Last updated:** 08/22/2020
