Organization
FROM THE SOLE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS C PIERCE C-PED (PRESIDENT)
(386) 672-9394
Entity
Organization
Contact information
Practice address
1520 RIDGEWOOD AVE, HOLLY HILL, FL 32117-2220
(386) 672-9394
(386) 672-4310
Mailing address
1520 RIDGEWOOD AVE, HOLLY HILL, FL 32117-2220
(386) 672-9394
(386) 672-4310
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
PED-44
FL
Other
Enumeration date
05/15/2007
Last updated
07/27/2009
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