Organization
COMFORT LIFE MEDICAL SUPPLIES, LLC
Active
Parent organization
AFFORDABLE SHOES LTD
Organization subpart
Yes
Provider details
NPI number
Legal business name
AFFORDABLE SHOES LTD
Authorized official
MRS. MIRRA KERN MS, MANAGEMENT (GENERAL MANAGER)
(954) 564-3381
Entity
Organization
Contact information
Practice address
4028 N OCEAN BLVD, FORT LAUDERDALE, FL 33308-6420
(954) 564-3381
(954) 564-3386
Mailing address
706 NE 26TH AVE, HALLANDALE BEACH, FL 33009-2941
(954) 564-3381
(954) 564-3386
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6465110001
MEDICARE PTAN
FL
Enumeration date
03/30/2009
Last updated
04/30/2012
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