Organization
BAYSIDE MEDICAL SUPPLY, LLC
Active
Other names
Bayside Shoes for Life
Organization subpart
No
Provider details
NPI number
Authorized official
NOEL MILLER CFTS (OWNER)
(251) 279-0001
Entity
Organization
Contact information
Practice address
107 N FLORIDA ST STE B, MOBILE, AL 36607-3009
(251) 279-0001
(866) 574-2101
Mailing address
107 N FLORIDA ST STE B, MOBILE, AL 36607-3009
(251) 279-0001
(866) 574-2101
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
AL
Other
Enumeration date
08/17/2012
Last updated
03/07/2024
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