Organization
FOOTWAY
Active
Other names
PETER'S SHOES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER P. ARENA JR. NONE (PRESIDENT)
(561) 964-8627
Entity
Organization
Contact information
Practice address
6131C LAKE WORTH RD, GREENACRES, FL 33463-3074
(561) 964-8627
(561) 964-1091
Mailing address
6131C LAKE WORTH RD, GREENACRES, FL 33463-3074
(561) 964-8627
(561) 964-1091
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
PED37
FL
Other
Enumeration date
07/17/2006
Last updated
03/20/2013
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