Organization Active NPI

Evolution Orthotics Inc

  • Durable Medical Equipment & Medical Supplies
  • Sanford, FL
National Provider Identifier
1124569256
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
EVOLUTION ORTHOTICS INC
Practice address
501 Gordon St
Sanford, FL 32771-6327
Phone
(407) 688-2860
Fax
(321) 257-1987
NPI assigned
Mar 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dennis Drazen
Title
Owner
Phone
(407) 688-2860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

501 Gordon St
Sanford, FL 32771-6327

Mailing address

501 Gordon St
Sanford, FL 32771-6327
Phone (407) 688-2860

National Provider Directory

National Provider Directory

Locations

501 Gordon St
Sanford, FL 32771
Phone (407) 688-2860

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488931200000",
    "number": "1124569256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 GORDON ST",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327716327",
            "telephone_number": "407-688-2860",
            "fax_number": "321-257-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 GORDON ST",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327716327",
            "telephone_number": "407-688-2860",
            "fax_number": "321-257-1987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION ORTHOTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-08",
        "last_updated": "2017-03-08",
        "status": "A",
        "authorized_official_last_name": "DRAZEN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-688-2860"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.