Organization
PARK SHOES, INC.
Active
Other names
Village Bootery
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS CHARLES SCHUEMANN (OWNER/PRESIDENT)
(561) 746-3536
Entity
Organization
Contact information
Practice address
245 S US HIGHWAY 1, TEQUESTA, FL 33469-2701
(772) 746-3536
(772) 744-7851
Mailing address
245 S. US HIGHWAY 1, TEQUESTA, FL 33469-2701
(772) 746-3536
(772) 744-7851
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PED73
FL
Other
Enumeration date
07/27/2007
Last updated
07/27/2007
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