Organization
ANGEL SHOES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN HEWITT (OWNER)
(727) 771-7749
Entity
Organization
Contact information
Practice address
2323 CURLEW RD, STE 6A, DUNEDIN, FL 34698-9330
(727) 771-7749
(727) 771-7749
Mailing address
2323 CURLEW RD, STE 6A, DUNEDIN, FL 34698-9330
(727) 771-7749
(727) 771-7749
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R9687
BLUE CROSS
FL
Enumeration date
01/25/2006
Last updated
06/12/2008
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