Healthcare Provider Details

I. General information

NPI: 1336043629
Provider Name (Legal Business Name): MEDICAL DINAMICS CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 RIVER REACH DR APT 268
ORLANDO FL
32828-5839
US

IV. Provider business mailing address

1501 RIVER REACH DR APT 268
ORLANDO FL
32828-5839
US

V. Phone/Fax

Practice location:
  • Phone: 407-686-0967
  • Fax:
Mailing address:
  • Phone: 407-686-0967
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL

VIII. Authorized Official

Name: MARY ANN N BOVEY
Title or Position: CEO
Credential: MD
Phone: 407-686-0967