ITALY SHOE LAB, INC
NPI 1962455873
Prosthetic/Orthotic Supplier in Wimauma, FL

Active since May 19, 2006
16621 HWY 301 S, #107, WIMAUMA, FL 33598(813) 645-5800(813) 641-0319 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 1962455873) is a healthcare organization registered as a prosthetic/orthotic supplier in Wimauma, Florida and active in the NPI registry since May 2006. The organization lists Jeffrey M Corniello, Vice-president, as its authorized official.

NPPES Registry Identity

NPI1962455873
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameITALY SHOE LAB, INC
Location Address16621 HWY 301 S, #107Wimauma, FL 33598
Mailing Address13521 Mango Bay DrRiverview, FL 33579-2336 · (813) 645-5800
Fax(813) 641-0319
Organization SubpartNo
Authorized OfficialJeffrey M CornielloVice-president · (813) 645-5800
Enumeration DateMay 19, 2006
Last NPPES UpdateFebruary 27, 2008
NPI 1962455873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
License Licensed in FL · NO 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.
16621 HWY 301 S, Wimauma, FL 33598

Other Identifiers 1

Medicare ID-Type Unspecified4914920001FL · Wimauma

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 1962455873. It was assigned to this organization in the NPPES registry on May 19, 2006.

Where is Italy Shoe Lab, Inc located?

Italy Shoe Lab, Inc is located at 16621 Hwy 301 S #107, Wimauma, FL 33598. The listed phone number is (813) 645-5800.

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.