Organization Active NPI

Greenwood Orthotics, LLC

  • Durable Medical Equipment & Medical Supplies
  • Sanford, FL
National Provider Identifier
1790254274
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GREENWOOD ORTHOTICS, LLC
Practice address
4360 Carraway PL Ste a
Sanford, FL 32771-8522
Phone
(407) 732-6381
NPI assigned
Nov 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Authorized official

Name
Daryl W Novack
Title
Owner
Phone
(386) 682-8570

Specialties & licenses 1

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

Addresses

Primary practice location

4360 Carraway PL Ste a
Sanford, FL 32771-8522

Mailing address

4360 Carraway PL Ste a
Sanford, FL 32771-8522
Phone (407) 732-6381

National Provider Directory

National Provider Directory

Locations

4360 Carraway Pl
Ste A
Sanford, FL 32771
Phone (407) 732-6381

NPI Registry JSON

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542153600000",
    "number": "1790254274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4360 CARRAWAY PL STE A",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327718522",
            "telephone_number": "407-732-6381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4360 CARRAWAY PL STE A",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327718522",
            "telephone_number": "407-732-6381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD ORTHOTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-14",
        "last_updated": "2018-11-14",
        "status": "A",
        "authorized_official_last_name": "NOVACK",
        "authorized_official_first_name": "DARYL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-682-8570"
    },
    "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 Nov 14, 2018; 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.