Organization
EVOLUTION ORTHOTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS DRAZEN (OWNER)
(407) 688-2860
Entity
Organization
Contact information
Practice address
501 GORDON ST, SANFORD, FL 32771-6327
(407) 688-2860
(321) 257-1987
Mailing address
501 GORDON ST, SANFORD, FL 32771-6327
(407) 688-2860
(321) 257-1987
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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