Organization
FOOT CARE STORE, LLC
Active
Other names
DIAFOOT
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT M GAYNOR DPM (DIRECTOR OF PODIATRY)
(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
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PO1985
FL
Other
Enumeration date
01/19/2007
Last updated
01/05/2026
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