J. Avendano'S Shoes, LLC.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

PED159 Issued in FL

Legal business name

J. AVENDANO'S SHOES, LLC.

Practice address

1290 N Federal Hwy
Pompano Beach, FL 33062-3705

Phone

(954) 943-9667

Fax

(954) 941-9204

NPI assigned

Aug 4, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Emerald Zeta Barbajo, L.PED.

Title

Pedorthist

Phone

(954) 573-3516

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1344038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348963200000",
    "number": "1730436197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 N FEDERAL HWY",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330623705",
            "telephone_number": "954-943-9667",
            "fax_number": "954-941-9204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 N FEDERAL HWY",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330623705",
            "telephone_number": "954-943-9667",
            "fax_number": "954-941-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. AVENDANO'S SHOES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-04",
        "last_updated": "2012-09-30",
        "status": "A",
        "authorized_official_last_name": "BARBAJO",
        "authorized_official_first_name": "EMERALD",
        "authorized_official_middle_name": "ZETA",
        "authorized_official_title_or_position": "PEDORTHIST",
        "authorized_official_telephone_number": "954-573-3516",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.PED."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "PED159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2012; 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.