# A FOOT CARE CENTER LLC

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

## Provider details

- **NPI number:** 1386996395
- **Authorized official:** DR. MARK E WEAVER DPM (PRESIDENT)
- **Authorized official phone:** (239) 278-4448

## Contact information

- **Practice address:** 1645 COLONIAL BLVD, FORT MYERS, FL 33907-1101
- **Practice address phone:** (239) 278-4448
- **Practice address fax:** (239) 939-1286
- **Mailing address:** 1645 COLONIAL BLVD, FORT MYERS, FL 33907-1101
- **Mailing address phone:** (239) 278-4448
- **Mailing address fax:** (239) 939-1286

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0000X | Sports Medicine Podiatrist | PO0001857 | FL | Yes |

## Other

- **Enumeration date:** 10/15/2012
- **Last updated:** 05/13/2013