Organization
PEDORTHIC OFFICE - FOOTWEAR & ORTHOTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ASIM ALLI C.PED (OWNER)
(917) 825-4033
Entity
Organization
Contact information
Practice address
16 N SATURN AVE, CLEARWATER, FL 33755-6229
(727) 446-7511
Mailing address
16 N SATURN AVE, CLEARWATER, FL 33755-6229
(727) 446-7511
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/20/2009
Last updated
04/20/2009
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