Organization
M-TECH ORTHOTICS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLEY J. GRAVES-BOYNTON (PRESIDENT)
(407) 761-5869
Entity
Organization
Contact information
Practice address
545 DELANEY AVE, BLDG.1-B, ORLANDO, FL 32801-3866
(407) 761-5869
(407) 291-7456
Mailing address
7718 DEBEAUBIEN DR, ORLANDO, FL 32835-8126
(800) 318-4199
(407) 291-7456
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
ORF175
FL
Other
Enumeration date
03/30/2007
Last updated
08/22/2020
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