Active NPI
M&C Signature, LLC
Doing business as Comfort Zone Shoes
- Durable Medical Equipment & Medical Supplies
- Ormond Beach, FL
National Provider Identifier
1063843977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- M&C SIGNATURE, LLC
- Doing business as
- Comfort Zone Shoes
- Practice address
- 1474 W Granada Blvd
Suite 475
Ormond Beach, FL 32174-9187 - Phone
- (386) 677-7011
- Fax
- (386) 677-7075
- NPI assigned
- Dec 2, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Olga D Higgins
- Title
- Manager
- Phone
- (407) 721-5217
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1474 W Granada Blvd
Suite 475
Ormond Beach, FL 32174-9187
Mailing address
1474 W Granada Blvd
Suite 475
Ormond Beach, FL 32174-9187
Phone (386) 677-7011
Other names 1
- Comfort Zone Shoes
National Provider Directory
National Provider DirectoryLocations
1474 W Granada Blvd
Ste 475
Ormond Beach, FL 32174
Phone (386) 451-1225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385942400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1385942400000",
"number": "1063843977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1474 W GRANADA BLVD",
"address_2": "SUITE 475",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321749187",
"telephone_number": "386-677-7011",
"fax_number": "386-677-7075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1474 W GRANADA BLVD",
"address_2": "SUITE 475",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321749187",
"telephone_number": "386-677-7011",
"fax_number": "386-677-7075"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "M&C SIGNATURE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-02",
"last_updated": "2013-12-02",
"status": "A",
"authorized_official_last_name": "HIGGINS",
"authorized_official_first_name": "OLGA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "407-721-5217"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Comfort Zone Shoes",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ormond Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.