# DIABETIC FOOTWEAR & SUPPLY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225218159
- **Authorized official:** MR. PAUL J. WEINER CERTIFIED PEDORTHIST (PRESIDENT)
- **Authorized official phone:** (561) 338-3838

## Contact information

- **Practice address:** 7036 W PALMETTO PARK RD, SUITE 59, BOCA RATON, FL 33433-3404
- **Practice address phone:** (561) 338-3838
- **Practice address fax:** (561) 338-5318
- **Mailing address:** 7036 W PALMETTO PARK RD, SUITE 59, BOCA RATON, FL 33433-3404
- **Mailing address phone:** (561) 338-3838
- **Mailing address fax:** (561) 338-5318

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 11/08/2007
- **Last updated:** 11/08/2007