Organization
AVANTI FOOTWEAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHMUEL BOGOMILSKY (PRESIDENT)
(877) 391-2753
Entity
Organization
Contact information
Practice address
2626 NE 2ND AVE, MIAMI, FL 33137-4415
(877) 391-2753
Mailing address
4535 POST AVE, MIAMI, FL 33140-3035
(877) 391-2753
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
L12000024926
FL
Other
Enumeration date
03/01/2012
Last updated
03/01/2012
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