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General NPI Number Information
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NPI Number | 1528452513
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Entity Type | Organization
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Legal Business Name | BIOFOOT SCAN
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Dates
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Enumeration Date | 03/27/2015
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Last Update Date | 03/27/2015
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Provider Practice Location Address
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Address Line | 4258 S.W. 12 AVE
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City | HIALEAAH
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State | FL
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Zip | 33012-4108
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Country | US
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Telephone | 305-773-7721
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Fax |
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Provider Business Mailing Address
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Address Line | 4258 S.W. 12 AVE
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City | HIALEAAH
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State | FL
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Zip | 33012
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Country | US
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Telephone | 305-773-7721
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ARMANDO QUIRANTES
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Credential | CO
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Telephone | 305-773-7721
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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