Advanced Diabetic Shoes

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ADVANCED DIABETIC SHOES

Practice address

38511 US 19 N
Palm Harbor, FL 34684-1033

Phone

(727) 942-9085

Fax

(727) 945-1925

NPI assigned

Aug 3, 2006

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Arlene Obrien

Title

Owner

Phone

(727) 942-9085

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1780692384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 965",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346880965",
            "telephone_number": "727-942-9085",
            "fax_number": "727-945-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38511 US 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346841033",
            "telephone_number": "727-942-9085",
            "fax_number": "727-945-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DIABETIC SHOES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "OBRIEN",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-942-9085"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "R9692",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Palm Harbor, FL
• Providers in Palm Harbor, 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 Apr 20, 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.