Organization
PHYLLIS A. NORRIS
Active
Other names
The Shoe Box
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS NORRIS CERTIFIED PEDORTHIST (OWNER)
(863) 763-4401
Entity
Organization
Contact information
Practice address
1138 S PARROTT AVE, OKEECHOBEE, FL 34974-5270
(863) 763-4401
(863) 763-6335
Mailing address
1138 S. PARROTT AVE., OKEECHOBEE, FL 34974-6239
(863) 763-4401
(863) 763-6335
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
332BC3200X
FL
Other
Enumeration date
12/05/2007
Last updated
08/05/2011
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