Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers | |
Dialysis Equipment & Supplies |
332BD1200X | 87 | All Other Suppliers | |
Oxygen Equipment & Supplies |
332BX2000X | B1 | Oxygen supplier | |
Prosthetic/Orthotic Supplier |
335E00000X | 51 | Medical Supply Company with Orthotist |
| NPI # | 1528239605 |
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| LBN Legal business name | PERFECT FIT FOOTWEAR | ||||
| Authorized official | EDGAR BARRIOS - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 03/17/2008 | ||||
| Last updated | 05/10/2012 - About 14 years ago | ||||
| Identifiers |
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PERFECT FIT FOOTWEAR
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