# FOOTWEAR BY DESIGN

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1962542019
- **Authorized official:** MRS. PAMELA ANN ECKENRODE L.C.PED (OWNER)
- **Authorized official phone:** (407) 323-7441

## Contact information

- **Practice address:** 1967 LONGWOOD LAKE MARY RD, SUITE 1001, LONGWOOD, FL 32750-4673
- **Practice address phone:** (407) 323-7441
- **Practice address fax:** (407) 323-1964
- **Mailing address:** 1967 LONGWOOD LAKE MARY RD, SUITE 1001, LONGWOOD, FL 32750-4673
- **Mailing address phone:** (407) 323-7441
- **Mailing address fax:** (407) 323-1964

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | PED154 | FL | Yes |
| 335E00000X | Prosthetic/Orthotic Supplier | PED154 | FL | — |

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 03/06/2009