M-Tech Orthotics Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

ORF175 Issued in FL

Legal business name

M-TECH ORTHOTICS INC.

Practice address

545 Delaney Ave
BLDG.1-B
Orlando, FL 32801-3866

Phone

(407) 761-5869

Fax

(407) 291-7456

NPI assigned

Mar 30, 2007

Organization subpart

No

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

Authorized official

Name

Lesley J. Graves-Boynton

Title

President

Phone

(407) 761-5869

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255451621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7718 DEBEAUBIEN DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328358126",
            "telephone_number": "800-318-4199",
            "fax_number": "407-291-7456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 DELANEY AVE",
            "address_2": "BLDG.1-B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328013866",
            "telephone_number": "407-761-5869",
            "fax_number": "407-291-7456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M-TECH ORTHOTICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAVES-BOYNTON",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-761-5869"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "ORF175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Orlando, FL
• Providers in Orlando, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.