The Shoe Lab, INC

NPI #1730365453 in Ruskin, Florida

Provider Information

NPI Number
1730365453
Entity Type
Organization
Organization Name
The Shoe Lab, INC
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Jan 11, 2008
Last Updated
Aug 31, 2018

Practice Location

Address
1201 1ST ST SW
City
Ruskin
State
Florida
ZIP Code
33570
Phone
(813) 645-5800

Authorized Official

Name
JEFFREY J CORNIELLO, PEDORTHIST PED 76
Title
PRESIDENT
Phone
(813) 645-5800

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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