Organization · Type 2 NPI

Italy Shoe Lab, Inc

Prosthetic/Orthotic Supplier · Wimauma, FL

NPI number 1962455873 Active

Practice location

16621 Hwy 301 S, #107
Wimauma, FL 33598

Fax (813) 641-0319

Mailing address

13521 Mango Bay Dr
Riverview, FL 33579-2336

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000XNO 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 1962455873

Italy Shoe Lab, Inc's National Provider Identifier is 1962455873, issued on May 19, 2006. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Wimauma, FL. The record was last updated on Feb 27, 2008.