Provider Type Icon

ITALY SHOE LAB INC NPI 1144342940


NPI Information

NPI: 1144342940
Provider Name: ITALY SHOE LAB INC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
1201 1ST ST SW
RUSKIN, FL
ZIP 33570
Phone: (813) 770-5199
Get Directions

ITALY SHOE LAB INC is a prosthetic orthotic supplier in Ruskin, FL. The provider is 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. ITALY SHOE LAB INC NPI is 1144342940. The provider is registered as an organization entity type.

The provider's business location address is:

1201 1ST ST SW
RUSKIN, FL
ZIP 33570-345
Phone: (813) 770-5199

The provider's authorized official is Jeffrey James Corniello .
The authorized official title is Pedorthist and has the following contact phone number (813) 645-5800.

The enumeration date for this NPI number is 4/4/2007 and was last updated on 2/27/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335E00000XProsthetic/Orthotic SupplierPED 76FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14914920003MEDICARE UPINFLORIDA
24914920002MEDICARE UPINFLORIDA
34914920001MEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.