Organization
FOOTWEAR BY DESIGN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA ANN ECKENRODE L.C.PED (OWNER)
(407) 323-7441
Entity
Organization
Contact information
Practice address
1967 LONGWOOD LAKE MARY RD, SUITE 1001, LONGWOOD, FL 32750-4673
(407) 323-7441
(407) 323-1964
Mailing address
1967 LONGWOOD LAKE MARY RD, SUITE 1001, LONGWOOD, FL 32750-4673
(407) 323-7441
(407) 323-1964
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PED154
FL
335E00000X
Prosthetic/Orthotic Supplier
PED154
FL
Other
Enumeration date
02/07/2007
Last updated
03/06/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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