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A Custom Comfort Shoes Inc
Prosthetic/Orthotic Supplier in Hallandale Beach, Florida
NPI 1841402377

A Custom Comfort Shoes Inc is a Prosthetic/Orthotic Supplier based in Hallandale Beach, FL. A Custom Comfort Shoes Inc practices in Hallandale Beach, FL. The NPI Number for A Custom Comfort Shoes Inc is 1841402377 and holds a License No. PED15 (Florida).

The current practice location address for A Custom Comfort Shoes Inc is 800 E Hallandale Beach Blvd, Hallandale Beach, FL and can be reached out via phone at 954-457-1202 and via fax at 954-454-9971.

Location: 800 E Hallandale Beach Blvd, Hallandale Beach, FL, 33009-4477
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841402377
Provider Name
A Custom Comfort Shoes Inc
Credential
Provider Entity Type
Organization
Address
800 E Hallandale Beach Blvd, Hallandale Beach, FL, 33009-4477
Phone Number
954-457-1202
Fax Number
954-454-9971
Provider Enumeration Date
05/04/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
M1031 01 FL BLUECROSS BLUESHIELD
institution
Provider Business Practice Location Address Details
Address
800 E Hallandale Beach Blvd
City
Hallandale Beach
State
Florida
Zip
33009-4477
Phone Number
954-457-1202
Fax Number
954-454-9971
person
Provider Business Mailing Address Details
Address
800 E Hallandale Beach Blvd
City
Hallandale Beach
State
Florida
Zip
33009-4477
Phone Number
954-457-1202
Fax Number
954-454-9971
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
PED15 (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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