MEDICARE: C A STUDIO INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224P00000X	Prosthetist

General Provider Information

NPI Number	:	1992043624
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	C A STUDIO INC

Provider Business Mailing Address
First Line	:	3022 E COMMERCIAL BLVD
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-4312
Country	:	US
Telephone Number	:	954-489-3050
Fax Number	:	954-489-3926

Provider Business Practice Location Address
First Line	:	3022 E COMMERCIAL BLVD
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-4312
Country	:	US
Telephone Number	:	954-489-3050
Fax Number	:	954-489-3926

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. CHARLES M ALFIERI
Credential	:
Telephone Number	:	954-489-3050

Provider Enumeration Date	:	01/31/2013
Last Update Date	:	01/31/2013

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Directions to “C A STUDIO INC ” Practice Location

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