Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Italy Shoe Lab, Inc

Organization Prosthetic/Orthotic Supplier · NPI 1962455873

Italy Shoe Lab, Inc is a Prosthetic/Orthotic Supplier in Wimauma, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16621 Hwy 301 S #107
Wimauma, FL 33598
Phone: (813) 645-5800
Fax: (813) 641-0319
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X · Licence NO PED 76 (FL)

Record details

NPI number1962455873
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Corniello — Vice-President · (813) 645-5800
NPI enumeratedMay 19, 2006
Last updated in NPPESFebruary 27, 2008
Mailing address13521 Mango Bay Dr, Riverview, FL 33579-2336

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