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NPI Code Detail

MEDICARE: NATIONAL ORTHOTICS LLC

MEDICARE: NATIONAL ORTHOTICS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332BC3200XCustomized Equipment (DME)3100-1187041FL

General Provider Information

NPI Number : 1881119774
Entity Type Code : Organization
Provider Name (Legal Business Name) : NATIONAL ORTHOTICS LLC
Provider Business Mailing Address
First Line : 8137 CHILTON DR
Second Line :
City : ORLANDO
State : FL
Zip : 32836-5900
Country : US
Telephone Number : 407-367-9149
Fax Number :
Provider Business Practice Location Address
First Line : 7208 W SAND LAKE RD STE 305
Second Line :
City : ORLANDO
State : FL
Zip : 32819-5279
Country : US
Telephone Number : 407-362-1825
Fax Number : 407-413-5498
Authorized Official
Title or Position : OWNER
Name : WILLIAM NOVACK
Credential :
Telephone Number : 407-367-9149
Provider Enumeration Date : 08/11/2017
Last Update Date : 08/11/2017

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Directions to “NATIONAL ORTHOTICS LLC ” Practice Location

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