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Foot Care Store Inc
Prosthetic/Orthotic Supplier in Wellington, Florida
NPI 1912218504

Foot Care Store Inc is a Prosthetic/Orthotic Supplier based in Wellington, FL. Foot Care Store Inc practices in Wellington, FL. The NPI Number for Foot Care Store Inc is 1912218504 and holds a License No. 1985 (Florida).

The current practice location address for Foot Care Store Inc is 3281 Fairlane Farms Rd Ste 7, Wellington, FL and can be reached out via phone at 561-791-1213 and via fax at 561-791-9919.

Location: 3281 Fairlane Farms Rd Ste 7, Wellington, FL, 33414-6503
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912218504
Provider Name
Foot Care Store Inc
Credential
Provider Entity Type
Organization
Address
3281 Fairlane Farms Rd Ste 7, Wellington, FL, 33414-6503
Phone Number
561-791-1213
Fax Number
561-791-9919
Provider Enumeration Date
06/29/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003177356A 05 GA
1740333061 05 VA
029761501 05 FL
0008364940 01 FL AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS,PROSTHETICS & PEDORTHICS, INC.
institution
Provider Business Practice Location Address Details
Address
3281 Fairlane Farms Rd Ste 7
City
Wellington
State
Florida
Zip
33414-6503
Phone Number
561-791-1213
Fax Number
561-791-9919
person
Provider Business Mailing Address Details
Address
3281 Fairlane Farms Rd Ste 7
City
Wellington
State
Florida
Zip
33414-6503
Phone Number
561-791-1213
Fax Number
561-791-9919
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
1985 (Florida)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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