PHYLLIS A. NORRIS NPI 1417139056

NPI Information

NPI: 1417139056
Provider Name: PHYLLIS A. NORRIS

Doing Business As: THE SHOE BOX

Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
1138 S PARROTT AVE
OKEECHOBEE, FL
ZIP 34974
Phone: (863) 763-4401
Get Directions

PHYLLIS A. NORRIS is a customized equipment durable medical equipment medical supplies in Okeechobee, FL. PHYLLIS A. NORRIS NPI is 1417139056. The provider is registered as an organization entity type.
The provider Is Doing Business As The Shoe Box.

The provider's business location address is:

1138 S PARROTT AVE
OKEECHOBEE, FL
ZIP 34974-270
Phone: (863) 763-4401
Fax: (863) 763-6335

The provider's authorized official is Phyllis Norris .
The authorized official title is Owner and has the following contact phone number (863) 763-4401.

The enumeration date for this NPI number is 12/5/2007 and was last updated on 8/5/2011.

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
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	332BC3200X	FLORIDA	Yes

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
1	4582560001	MEDICARE NSC	FLORIDA

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

NPI Synchronization or Removal

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