ITALY SHOE LAB, INC (NPI# 1740302645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740302645 |
Entity Type | Organization |
Organization Name | ITALY SHOE LAB, INC |
Practice Address |
9639 Palm River Rd Tampa FL 33619-4433 |
Mailing Address |
13521 Mango Bay Dr Riverview FL 33569-2336 |
Practice Telephone | 8137445155 |
Mailing Telephone | 8136455800 |
Enumeration Date | 2007-04-04 |
Last Update Date | 2020-08-22 |
Authorized Official Name | JEFFREY JAMES CORNIELLO (PEDORTHIST) |
Authorized Official Telephone | 8136455800 |
Authorized Official Credential | PEDORTHIST |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335E00000X | Prosthetic/Orthotic Supplier | PED 76 | FL | Suppliers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962455873 | Italy Shoe Lab, Inc | Prosthetic/Orthotic Supplier | 16621 Hwy 301 S, #107, Wimauma, FL 33598 | 2006-05-19 |
Street Address |
9639 PALM RIVER RD |
City | TAMPA |
State | FL |
Zip Code | 33619-4433 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740706787 | Nuevo Amanecer Tampa, LLC | Assisted Living Facility | 7405 Aripeka Dr, Tampa, FL 33619 | 2017-08-22 |
1144742396 | Florida Family Primary Care Centers of Tampa, LLC | Pediatrics | 7444 Palm River Dr, Tampa, FL 33619 | 2017-07-10 |
1750817110 | Ajaa Love Care Services | Home Health | 8905 Tidewater Trail, Tampa, FL 33619 | 2017-05-04 |
1073064127 | Tampa General Medical Group Inc | Internal Medicine | 10740 Palm River Road, Ste 360, Tampa, FL 33619 | 2016-10-24 |
1598116741 | Austin Chase | Chiropractor | 10081 E Adamo Dr, Tampa, FL 33619 | 2016-06-29 |
1841667003 | Healthworks Med Group of Florida Pa | General Practice | 9527 Delaney Creek Blvd, Tampa, FL 33619 | 2015-08-24 |
1962883371 | A Plus Alliance Home Care Agency, LLC | Home Health | 1503 South Hwy 301 Suite 13, Tampa, FL 33619 | 2015-06-11 |
1285026377 | Fatty Ademola Aderoju | Pharmacist | 5701 Hillsborough Ave, Tampa, FL 33619 | 2015-02-26 |
1942692504 | Henry Fate Corporation | Home Health | 9325 Bay Plaza Blvd, Suite 205, Tampa, FL 33619 | 2015-02-19 |
1598189938 | Willie Ruth Miller | Custodial Care Facility | 4812 S. 86th St, Tampa, FL 33619 | 2014-02-05 |
Find all providers in zip 33619 |
Taxonomy Code | 335E00000X |
Grouping | Suppliers |
Classification | Prosthetic/Orthotic Supplier |
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. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831705805 | Fourroux Prosthetics, Inc | Prosthetic/Orthotic Supplier | 5453 N 59th St, Tampa, FL 33610-2011 | 2020-09-16 |
1013482546 | Westcoast Brace & Limb | Prosthetic/Orthotic Supplier | 4809 Memorial Hwy Ste C, Tampa, FL 33634-7515 | 2018-10-11 |
1700383312 | Gomez Orthotic Systems LLC | Prosthetic/Orthotic Supplier | 4809 Memorial Hwy, Tampa, FL 33634-7515 | 2018-04-10 |
1043767510 | Its Jazzy Salo | Prosthetic/Orthotic Supplier | 3010 N 22nd St, Tampa, FL 33605-1914 | 2016-09-01 |
1013462316 | Danori Inc. | Prosthetic/Orthotic Supplier | 1425 W Busch Blvd, Tampa, FL 33612-7601 | 2016-08-17 |
1396135315 | Express Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 3603 W Flora St, Tampa, FL 33614-4025 | 2015-01-28 |
1922429588 | Amy Holm | Prosthetic/Orthotic Supplier | 812 W Mlk Blvd #100, Tampa, FL 33603-3338 | 2013-12-30 |
1033462171 | About You | Prosthetic/Orthotic Supplier | 3401 Henderson Blvd, Suite A, Tampa, FL 33609-3989 | 2012-10-25 |
1376858688 | American Ortho Tech Laboratories, Inc. | Prosthetic/Orthotic Supplier | 4809 Memorial Hwy Ste 100, Tampa, FL 33634-7515 | 2010-08-11 |
1194733758 | Westcoast Brace & Limb | Prosthetic/Orthotic Supplier | 5311 E Fletcher Ave, Tampa, FL 33617-1147 | 2006-08-03 |
Find all providers in TAMPA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.