Italy Shoe Lab, Inc in Tampa - Prosthetic/orthotic Supplier
Italy Shoe Lab, Inc - NPI 1740302645
Italy Shoe Lab, Inc is a Prosthetic/orthotic Supplier in Tampa, Florida. Italy Shoe Lab, Inc practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Italy Shoe Lab, Inc is 1740302645. The last update date is 2020-08-22.
Italy Shoe Lab, Inc's current location address is 9639 Palm River Rd, Tampa, Florida. You can contact this provider via phone number 8137445155. The mailing address for Italy Shoe Lab, Inc is 9639 Palm River Rd, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Italy Shoe Lab, Inc |
|---|---|
| Address | 9639 Palm River Rd, Tampa, Florida |
| Phone Number | 8137445155 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PEDORTHIST |
|---|---|
| Authorized Official Name | Corniello James Jeffrey |
| Credentials | PEDORTHIST |
| Telephone Number | 8136455800 |
NPI Number Detail
| NPI Number | 1740302645 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 9639 Palm River Rd |
|---|---|
| City | Tampa |
| State | Florida (FL) |
| Post Code | 336194433 |
| Phone Number | 8137445155 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
| Licence No | PED 76 |
|
Definition: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological f |
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What is the unique identification code assigned to Italy Shoe Lab, Inc by the Centers for Medicare & Medicaid Services?
The Italy Shoe Lab, Inc has been issued the NPI (National Provider Identifier) 1740302645. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Italy Shoe Lab, Inc's facilities are geographically located?
The facilities of Italy Shoe Lab, Inc are physically situated at the following location: 9639 Palm River Rd, Tampa, FL, 336194433.
What is Italy Shoe Lab, Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Italy Shoe Lab, Inc's area of specialization is Prosthetic/orthotic Supplier, and the corresponding taxonomy code that categorizes this field of practice is 335E00000X.
When was the Italy Shoe Lab, Inc's 1740302645 issued?
The Italy Shoe Lab, Inc's 1740302645 was issued on 2007-04-04.
As of what date was the information regarding Italy Shoe Lab, Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Italy Shoe Lab, Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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