Organization Name: | HARRIS COMFORT SHOES INC |
NPI Number: | 1851427363 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD E HARRIS (PRESIDENT OWNER) |
Mailing Address: | 406 Via De Palma Boca Raton |
State: | FL US |
Postal Code: | 33432 |
Phone Number: | 5613921200 |
Fax Number: | 5613921015 |
NPI Enumeration Date: | 02/26/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225000000X |
License Number: | PED55 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Orthotic Fitter |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the management of fitting prefabricated orthoses. |