NPI 1912218504

Foot Care Store INC

Organisation Prosthetic/Orthotic Supplier Wellington, FL

Practice location

Address: 3281 Fairlane Farms Rd STE 7, Wellington, FL 33414-6503
Phone: (561) 791-1213
Fax: (561) 791-9919

Authorised official

Name: Robert Mark Gaynor
Title: President
Phone: (561) 721-7063

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence 1985 (FL)

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Registry record

NPI: 1912218504
Entity type: Organization
NPI issued: 29 Jun 2010
Record last updated: 7 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.