Organization · Type 2 NPI

Italy Shoe Lab Inc

Prosthetic/Orthotic Supplier · Ruskin, FL

NPI number 1144342940 Active

Practice location

1201 1st St SW
Ruskin, FL 33570-5345

Mailing address

13521 Mango Bay Dr
Riverview, FL 33579-2336

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000XPED 76 (FL)

Prosthetic/Orthotic Supplier: 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 function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

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About NPI 1144342940

Italy Shoe Lab Inc's National Provider Identifier is 1144342940, issued on Apr 4, 2007. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Ruskin, FL. The record was last updated on Feb 27, 2008.