# THE FOOTWEAR COMPANY LLC

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

## Provider details

- **NPI number:** 1508089954
- **Authorized official:** FRANK E DENTON PEDORTHIST (OWNER)
- **Authorized official phone:** (386) 447-0560

## Contact information

- **Practice address:** 3 CYPRESS BRANCH WAY, SUITE 108A, PALM COAST, FL 32164-8409
- **Practice address phone:** (336) 446-4226
- **Practice address fax:** (336) 446-4206
- **Mailing address:** 3 CYPRESS BRANCH WAY, SUITE 108A, PALM COAST, FL 32164-8409
- **Mailing address phone:** (386) 447-0560
- **Mailing address fax:** (386) 447-0522

## Taxonomy

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

## Other

- **Enumeration date:** 04/11/2007
- **Last updated:** 03/25/2009