ITALY SHOE LAB INC
NPI 1144342940
Prosthetic/Orthotic Supplier in Ruskin, FL

Active since April 04, 2007
1201 1ST ST SW, RUSKIN, FL 33570(813) 770-5199 Get Directions Write a Review

NPPES record last updated: February 27, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Italy Shoe Lab Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ITALY SHOE LAB INC (NPI 1144342940) is a healthcare organization registered as a prosthetic/orthotic supplier in Ruskin, Florida and active in the NPI registry since April 2007. The organization lists Jeffrey James Corniello, Pedorthist, as its authorized official.

NPPES Registry Identity

NPI1144342940
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameITALY SHOE LAB INC
Location Address1201 1ST ST SWRuskin, FL 33570-5345
Mailing Address13521 Mango Bay DrRiverview, FL 33579-2336 · (813) 645-5800
Organization SubpartNo
Authorized OfficialJeffrey James CornielloPedorthist · (813) 645-5800
Enumeration DateApril 4, 2007
Last NPPES UpdateFebruary 27, 2008
NPI 1144342940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
License Licensed in FL · PED 76
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
1201 1ST ST SW, Ruskin, FL 33570

Other Identifiers 3

Medicare UPIN4914920003FL
Medicare UPIN4914920002FL
Medicare UPIN4914920001FL

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Prosthetic/Orthotic Supplier
1201 1ST ST SW
RUSKIN, FL 33570

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Italy Shoe Lab Inc's NPI number?

The NPI number for Italy Shoe Lab Inc is 1144342940. It was assigned to this organization in the NPPES registry on April 4, 2007.

Where is Italy Shoe Lab Inc located?

Italy Shoe Lab Inc is located at 1201 1st St SW, Ruskin, FL 33570. The listed phone number is (813) 770-5199.

What is Italy Shoe Lab Inc's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Italy Shoe Lab Inc was last updated on February 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.