Italy Shoe Lab, INC
NPI #1962455873 in Wimauma, Florida
Provider Information
- NPI Number
- 1962455873
- Entity Type
- Organization
- Organization Name
- Italy Shoe Lab, INC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- May 19, 2006
- Last Updated
- Feb 27, 2008
Practice Location
Authorized Official
- Name
- JEFFREY M CORNIELLO, CPED
- Title
- VICE-PRESIDENT
- Phone
- (813) 645-5800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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