NPI | 1184704769 |
---|---|
Doing Business As | ALICIAS COMFORT SHOE DEPOT |
Entity Type | Organization |
Authorized Contact | ELLIOT SCHWARTZ Vice President Secretary 561-496-3399 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL CPed64) |
Enumeration Date | 2006-10-17 |
Last Update Date | 2007-12-06 |