Organization
A STEP AHEAD PEDORTHICS & ORTHOTICS LLC
Active
Organization
A STEP AHEAD PEDORTHICS & ORTHOTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KYLE SMITH C.PED CFO (OWNER)
(850) 474-5003
Entity
Organization
Contact information
Practice address
2401 EXECUTIVE PLAZA RD, SUITE 1-A, PENSACOLA, FL 32504-8277
(850) 474-5003
Mailing address
2401 EXECUTIVE PLAZA RD, SUITE 1-A, PENSACOLA, FL 32504-8277
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
ORF234
FL
335E00000X
Prosthetic/Orthotic Supplier
Primary
PED207
FL
Other
Enumeration date
08/01/2016
Last updated
06/14/2017
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