Organization
DOTSON, INC
Active
Other names
Dale's Shoes
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL DOTSON (VICE PRESIDENT/GENERAL MANAGER)
(386) 252-2138
Entity
Organization
Contact information
Practice address
2595 W INTERNATIONAL SPEEDWAY BLVD, DAYTONA BEACH, FL 32114-1118
(386) 252-2138
(386) 252-0928
Mailing address
2595 W INTERNATIONAL SPEEDWAY BLVD, DAYTONA BEACH, FL 32114
(386) 252-2138
(386) 252-0928
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
PED-148
FL
Other
Enumeration date
12/04/2007
Last updated
05/07/2008
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