Organization
BRACES DIRECT LLC
Active
Other names
The Brace Store
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH SHAPIRO DPM (OWNER)
(561) 271-9497
Entity
Organization
Contact information
Practice address
7209 PROMENADE DR APT 601, BOCA RATON, FL 33433-2809
(561) 271-9497
Mailing address
7209 PROMENADE DR APT 601, BOCA RATON, FL 33433-2809
(561) 271-9497
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639654148
—
FL
Enumeration date
10/03/2018
Last updated
10/03/2018
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