Organization
CREATIVE ORTHOTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM NOVACK (OWNER)
(407) 367-9149
Entity
Organization
Contact information
Practice address
7031 GRAND NATIONAL DR STE 100A, ORLANDO, FL 32819-8905
(407) 367-9149
Mailing address
7031 GRAND NATIONAL DR STE 100A, ORLANDO, FL 32819-8905
(407) 367-9149
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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