ITALY SHOE LAB, INC


Address: 9639 Palm River Rd, Tampa, FL 33619-4433
Phone: 8137445155

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335E00000X Prosthetic/Orthotic Supplier PED 76 FL Suppliers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1962455873 Italy Shoe Lab, Inc Prosthetic/Orthotic Supplier 16621 Hwy 301 S, #107, Wimauma, FL 33598 2006-05-19

Office Location

Street Address 9639 PALM RIVER RD
City TAMPA
State FL
Zip Code 33619-4433

Providers in the same zip code

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 Information

Taxonomy Code 335E00000X
Grouping Suppliers
Classification Prosthetic/Orthotic Supplier

Taxonomy 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.
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.

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City TAMPA
Zip Code 33619

Improve Information

Please comment or provide details below to improve the information on ITALY SHOE LAB, INC.

Dataset Information

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.

Trending Searches