Footcare Store Inc in Lake Worth - Durable Medical Equipment & Medical Supplies
Footcare Store Inc - NPI 1225148018
Footcare Store Inc is a Durable Medical Equipment & Medical Supplies in Lake Worth, Florida. Footcare Store Inc practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Footcare Store Inc is 1225148018. The last update date is 2020-08-22.
Footcare Store Inc's current location address is 6316 Lantana Rd, Lake Worth, Florida. You can contact this provider via phone number 5616412647 and fax number 5616421590. The mailing address for Footcare Store Inc is 6316 Lantana Rd, Lake Worth, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Footcare Store Inc |
|---|---|
| Address | 6316 Lantana Rd, Lake Worth, Florida |
| Phone Number | 5616412647 |
| Fax Number | 5616421590 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Gaynon M Robert |
| Credentials | DPM |
| Telephone Number | 5616412647 |
NPI Number Detail
| NPI Number | 1225148018 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 6316 Lantana Rd |
|---|---|
| City | Lake Worth |
| State | Florida (FL) |
| Post Code | 334636679 |
| Phone Number | 5616412647 |
| Fax Number | 5616421590 |
Provider's Primary Taxonomy Detail
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
|
Definition: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4036910001 | FL | DME # |
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What is the unique 10-digit identification code issued to Footcare Store Inc by the Centers for Medicare & Medicaid Services?
The Footcare Store Inc has been assigned the NPI (National Provider Identifier) 1225148018 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Footcare Store Inc located?
The Footcare Store Inc is located at 6316 Lantana Rd, Lake Worth, FL 334636679.
What is Footcare Store Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Footcare Store Inc is Durable Medical Equipment & Medical Supplies, and the taxonomy code that classifies this field of practice is 332B00000X.
On what date was the 1225148018 assigned to Footcare Store Inc?
The Footcare Store Inc was issued its 1225148018 on 2006-08-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Footcare Store Inc's information last updated?
The Footcare Store Inc's information was last updated on 2020-08-22.