Organization
A & D SHOES INC
Active
Other names
Nobile Shoes
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL NOBILE CPED LPED (PRESIDENT)
(772) 220-0845
Entity
Organization
Contact information
Practice address
888 COLORADO AVENUE, STUART, FL 34994
(772) 220-0845
(772) 220-0304
Mailing address
888 COLORADO AVENUE, STUART, FL 34994
(772) 220-0845
(772) 220-0304
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
PED45
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M2185
BCBS FL
FL
Enumeration date
01/24/2007
Last updated
07/16/2024
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