BRACES DIRECT LLC


Address: 7209 Promenade Dr Apt 601, Boca Raton, FL 33433-2809
Phone: 5612719497

BRACES DIRECT LLC (NPI# 1871068023) 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) 1871068023
Entity Type Organization
Organization Name BRACES DIRECT LLC
Practice Address 7209 Promenade Dr Apt 601
Boca Raton
FL 33433-2809
Practice Telephone 5612719497
Mailing Telephone 5612719497
Enumeration Date 2018-10-03
Last Update Date 2018-10-03
Authorized Official Name DR. KENNETH SHAPIRO (OWNER)
Authorized Official Telephone 5612719497
Authorized Official Credential DPM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP1100X Clinic/Center
Specialization: Podiatric
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
FL 1639654148 05

Other Provider/Organization Names

Other Name Type Code
The Brace Store Doing Business As Name - Organization

Office Location

Street Address 7209 PROMENADE DR APT 601
City BOCA RATON
State FL
Zip Code 33433-2809

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639654148 Kenneth Shapiro Podiatrist 7209 Promenade Dr Apt 601, Boca Raton, FL 33433-2809 2018-10-01

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Taxonomy Information

Taxonomy Code 261QP1100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Podiatric

Taxonomy Definition

Definition to come...

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Competitor

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City BOCA RATON
Zip Code 33433

Improve Information

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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.

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