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Organization

AMERICAN ORTHO-TECH LABORATORIES INC.

Active
Other names
Restore POC
Organization subpart
No

Provider details

NPI number
Authorized official
JANET WOODALL (DIRECTOR, CONTRACTING)
(336) 397-0993
Entity
Organization

Contact information

Practice address
1414 W GRANADA BLVD STE 3, ORMOND BEACH, FL 32174-8104
(386) 258-0401
(386) 252-1013
Mailing address
1414 W GRANADA BLVD STE 3, ORMOND BEACH, FL 32174-8104
(386) 258-0401
(386) 252-1013

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
POR142
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
012202900
FL
Enumeration date
07/27/2006
Last updated
05/04/2023
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