| NPI | 1437407715 |
|---|---|
| Doing Business As | BAYSIDE SHOES FOR LIFE |
| Entity Type | Organization |
| Authorized Contact | NOEL MILLER Owner 251-279-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2024-03-07 |