OrganizationActive
Italy Shoe Lab, Inc
NPI 1962455873 · Prosthetic/Orthotic Supplier · Wimauma, FL
Italy Shoe Lab, Inc is a Prosthetic/Orthotic Supplier organization in Wimauma, FL (NPI 1962455873).
Provider details
- NPI number
- 1962455873
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Jeffrey Corniello, Vice-President(813) 645-5800
- License
- NO PED 76 (FL)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
16621 Hwy 301 S
#107
Wimauma, FL 33598
Phone: (813) 645-5800
Fax: (813) 641-0319
Approximate (ZIP-level) locationGet directions
Mailing address
13521 Mango Bay Dr
Riverview, FL 33579-2336
Registry dates
- Enumerated
- 2006-05-19
- Last updated
- 2008-02-27
Frequently asked questions
- What is Italy Shoe Lab, Inc's NPI number?
- Italy Shoe Lab, Inc's National Provider Identifier (NPI) is 1962455873, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Italy Shoe Lab, Inc?
- Italy Shoe Lab, Inc is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Italy Shoe Lab, Inc located?
- Italy Shoe Lab, Inc's practice location on file with NPPES is 16621 Hwy 301 S, Wimauma, FL 33598.
- What is Italy Shoe Lab, Inc's phone number?
- The practice phone number listed in the NPPES registry for Italy Shoe Lab, Inc is (813) 645-5800.
- Who is the authorized official for Italy Shoe Lab, Inc?
- The authorized official listed on Italy Shoe Lab, Inc's NPPES record is Jeffrey Corniello, Vice-President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Italy Shoe Lab, Inc's NPI active?
- Yes — Italy Shoe Lab, Inc's NPI (1962455873) is active in the NPPES registry as of the last update on 2008-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.