Organization
DIABETIC FOOTWEAR & SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL J. WEINER CERTIFIED PEDORTHIST (PRESIDENT)
(561) 338-3838
Entity
Organization
Contact information
Practice address
7036 W PALMETTO PARK RD, SUITE 59, BOCA RATON, FL 33433-3404
(561) 338-3838
(561) 338-5318
Mailing address
7036 W PALMETTO PARK RD, SUITE 59, BOCA RATON, FL 33433-3404
(561) 338-3838
(561) 338-5318
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/08/2007
Last updated
11/08/2007
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