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The Shoe Lab, Inc
Prosthetic/Orthotic Supplier in Ruskin, Florida
NPI 1730365453

The Shoe Lab, Inc is a Prosthetic/Orthotic Supplier based in Ruskin, FL. The Shoe Lab, Inc practices in Ruskin, FL. The NPI Number for The Shoe Lab, Inc is 1730365453 and holds a License No. PED 76 (Florida).

The current practice location address for The Shoe Lab, Inc is 1201 1St St Sw, Ruskin, FL and can be reached out via phone at 813-645-5800 and via fax at 813-641-0319.

Location: 1201 1St St Sw, Ruskin, FL, 33570-5345
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730365453
Provider Name
The Shoe Lab, Inc
Credential
Provider Entity Type
Organization
Address
1201 1St St Sw, Ruskin, FL, 33570-5345
Phone Number
813-645-5800
Fax Number
813-641-0319
Provider Enumeration Date
01/11/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001855300 05 FL
institution
Provider Business Practice Location Address Details
Address
1201 1St St Sw
City
Ruskin
State
Florida
Zip
33570
Phone Number
813-645-5800
Fax Number
813-641-0319
person
Provider Business Mailing Address Details
Address
1201 1St St Sw
City
Ruskin
State
Florida
Zip
33570
Phone Number
813-645-5800
Fax Number
813-641-0319
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
PED 76 (Florida)
Definition
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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