Italy Shoe Lab INC

NPI #1144342940 in Ruskin, Florida

Provider Information

NPI Number
1144342940
Entity Type
Organization
Organization Name
Italy Shoe Lab INC
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Apr 4, 2007
Last Updated
Feb 27, 2008

Practice Location

Address
1201 1ST ST SW
City
Ruskin
State
Florida
ZIP Code
33570-5345
Phone
(813) 770-5199

Authorized Official

Name
JEFFREY JAMES CORNIELLO, PEDORTHIST
Title
PEDORTHIST
Phone
(813) 645-5800

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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