Organization
BLACK EYED PEAS INVESTMENTS, INC.
Active
Other names
Foot Solutions.
Organization subpart
No
Provider details
NPI number
Authorized official
SHEPHERD LEE BEASLEY C. PED (OWNER/ MANAGER)
(239) 458-3360
Entity
Organization
Contact information
Practice address
2311 SANTA BARBARA BLVD, SUITE 105, CAPE CORAL, FL 33991-4394
(239) 458-3360
(239) 242-1095
Mailing address
2311 SANTA BARBARA BLVD, SUITE 105, CAPE CORAL, FL 33991-4394
(239) 458-3360
(239) 242-1095
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
PED 129
FL
Other
Enumeration date
09/05/2007
Last updated
03/07/2008
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