Organization
FLORIDA PEDORTHICS INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH F LAROCCA CPED (PRESIDENT)
(561) 734-0032
Entity
Organization
Contact information
Practice address
1403 W BOYNTON BEACH BLVD, SUITE 14-15, BOYNTON BEACH, FL 33426
(561) 734-0032
(561) 734-5758
Mailing address
1403 W BOYNTON BEACH BLVD, SUITE 14-15, BOYNTON BEACH, FL 33426
(561) 734-0032
(561) 734-5758
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
PED20
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017110400
—
FL
Enumeration date
01/23/2007
Last updated
12/20/2016
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