Organization
GREENWOOD ORTHOTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARYL W NOVACK (OWNER)
(386) 682-8570
Entity
Organization
Contact information
Practice address
4360 CARRAWAY PL STE A, SANFORD, FL 32771-8522
(407) 732-6381
Mailing address
4360 CARRAWAY PL STE A, SANFORD, FL 32771-8522
(407) 732-6381
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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