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Contact Information

A CUSTOM COMFORT SHOES INC
800 E HALLANDALE BEACH BLVD
SUITE 23
HALLANDALE BEACH, FL33009-4477
 Phone: 954-457-1202
 Fax: 954-454-9971
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
Indicates primary specialty

NPI Profile & details for A CUSTOM COMFORT SHOES INC

NPI Number 1841402377
LBN Legal business name A CUSTOM COMFORT SHOES INC
Authorized official ROBERT DULBERG - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/04/2007
Last updated 12/04/2007 - About 19 years ago
Identifiers
FL License # PED15
FL Other M1031 BLUECROSS BLUESHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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