| NPI | 1356538821 |
|---|---|
| Doing Business As | POWELL SHOES |
| Entity Type | Organization |
| Authorized Contact | ALTHEA POWELL Owner / Operator 772-562-9045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL PED 78) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2015-12-07 |