| Organization Name: | SHOEBOAT, INC. |
| NPI Number: | 1659386043 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TAB J. HALBERG (OWNER/PRESIDENT) |
| Mailing Address: | 9131 College Pkwy Ste 120 Fort Myers |
| State: | FL US |
| Postal Code: | 339195818 |
| Phone Number: | 2394813404 |
| Fax Number: | 2394816254 |
| NPI Enumeration Date: | 07/31/2006 |
| NPI Last Update Date: | 04/20/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | PED 97 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |