Organization
BRANDY'S SHOES USA , INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED ASAM ASAD M.D (PRESIDENT)
(954) 943-9667
Entity
Organization
Contact information
Practice address
1290 N FEDERAL HWY, POMPANO BEACH, FL 33062-3705
(954) 943-9667
Mailing address
1290 N FEDERAL HWY, POMPANO BEACH, FL 33062-3705
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PED159
FL
Other
Enumeration date
12/17/2012
Last updated
12/17/2012
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