# FOOT CARE STORE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DIAFOOT
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740333061
- **Authorized official:** ROBERT M GAYNOR (DIRECTOR)
- **Authorized official phone:** (561) 721-7063

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 01/19/2007
- **Last updated:** 10/08/2026