Organization
FEET 1ST SHOES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WADE NIELD C.PED. (PRESIDENT)
(904) 731-3338
Entity
Organization
Contact information
Practice address
8081 PHILIPS HWY, SUITE 5, JACKSONVILLE, FL 32256-7464
(904) 731-3338
(904) 731-3348
Mailing address
8081 PHILIPS HWY STE 4, JACKSONVILLE, FL 32256-7443
(904) 731-3338
(904) 731-3348
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PED69
FL
Other
Enumeration date
10/16/2006
Last updated
09/08/2021
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