Organization · Type 2 NPI
Italy Shoe Lab, Inc
Prosthetic/Orthotic Supplier · Tampa, FL
Practice location
9639 Palm River Rd
Tampa, FL 33619-4433
Mailing address
13521 Mango Bay Dr
Riverview, FL 33569-2336
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | PED 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 1740302645
Italy Shoe Lab, Inc's National Provider Identifier is 1740302645, issued on Apr 4, 2007. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Tampa, FL. The record was last updated on Aug 22, 2020.