Organization
WELL HEELED INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK G SCHMITT (OWNER)
(904) 819-0332
Entity
Organization
Contact information
Practice address
1972 US HIGHWAY 1 S, ST AUGUSTINE, FL 32086-4233
(904) 819-0332
(904) 819-9645
Mailing address
1972 US HIGHWAY 1 S, ST AUGUSTINE, FL 32086-4233
(904) 819-0332
(904) 819-9645
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M2786
BCBS OF FL
FL
Enumeration date
07/22/2006
Last updated
08/22/2020
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