Park Shoes Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

5114170001 Issued in FL

Legal business name

PARK SHOES INC.

Practice address

2641 SE Ocean Blvd
Stuart, FL 34996-3401

Phone

(772) 746-3536

Fax

(772) 744-7851

NPI assigned

May 14, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Teresa Ann O'Brien

Title

Sales/Billing

Phone

(772) 283-3833

Specialties & licenses 1

Addresses

Other names 1

• Village Bootery Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Stanley O'Brien, PEDORTHIST

  • Specialist
  • Stuart, FL
  • NPI 1295938322
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1477720894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2641 SE OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963401",
            "telephone_number": "772-746-3536",
            "fax_number": "772-744-7851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2641 SE OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963401",
            "telephone_number": "772-746-3536",
            "fax_number": "772-744-7851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK SHOES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SALES/BILLING",
        "authorized_official_telephone_number": "772-283-3833",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "5114170001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Bootery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Francis G Paredes Padron
• Valeria Parejo
• Janie Parham
• Park Drugs Inc
• Park Drugs, Inc.
• Gyuwon Park
• Hannah Mae Parker
• Johnathan Parker
• Marcia Parker
• Maryssa Parker

• Durable Medical Equipment & Medical Supplies in Stuart, FL
• Providers in Stuart, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.