Organization
BRANDY'S SHOES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT PHILIP BRANSDORF (VP)
(954) 943-9667
Entity
Organization
Contact information
Practice address
1290 NORTH FED HWY, POMPANO BCH, FL 33062-3705
(954) 943-9667
(954) 941-9204
Mailing address
1290 N FEDERAL HWY, POMPANO BEACH, FL 33062-3705
(954) 943-9667
(954) 941-9204
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
12/03/2009
Last updated
08/24/2010
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