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Organization

FOOT CARE STORE, LLC

Active
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Organization

FOOT CARE STORE, LLC

Active
Other names
DIAFOOT
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT M GAYNOR (DIRECTOR)
(561) 721-7063
Entity
Organization

Contact information

Practice address
3281 FAIRLANE FARMS RD STE 4, WELLINGTON, FL 33414-6503
(561) 791-1213
(561) 791-9919
Mailing address
3281 FAIRLANE FARMS RD STE 4, WELLINGTON, FL 33414-6503
(561) 791-1213
(561) 791-9919

Taxonomy

Speciality
Code
Description
License number
State
224L00000X
Pedorthist
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PO1985
FL

Other

Enumeration date
01/19/2007
Last updated
10/08/2026
About Stedi
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