# AVANTI FOOTWEAR

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801160320
- **Authorized official:** MR. SHMUEL BOGOMILSKY (PRESIDENT)
- **Authorized official phone:** (877) 391-2753

## Contact information

- **Practice address:** 2626 NE 2ND AVE, MIAMI, FL 33137-4415
- **Practice address phone:** (877) 391-2753
- **Mailing address:** 4535 POST AVE, MIAMI, FL 33140-3035
- **Mailing address phone:** (877) 391-2753

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | L12000024926 | FL | Yes |

## Other

- **Enumeration date:** 03/01/2012
- **Last updated:** 03/01/2012