Dia-Foot

LBN: Foot Care Store Inc
Dia-Foot is an health care organization with primary practice located at 3281 Fairlane Farms Rd Ste 7 , Wellington FL 33414-6503. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Foot Care Store Inc can be contacted via phone (561) 791-1213, or through Gaynor, Robert Mark via phone (561) 721-7063.

Contact Information

Primary practice address
3281 Fairlane Farms Rd Ste 7 Wellington FL 33414-6503
Phone: (561) 791-1213
Fax: (561) 791-9919
Website:
Map and Directions
Authorized official contact:
Name: Gaynor, Robert Mark Doctor of Podiatric Medicine (DPM)
Phone: (561) 721-7063

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X 1985 Florida

Profile Details

NPI number 1912218504
LBN Legal business name Foot Care Store Inc
DBA Doing business as Dia-Foot
Authorized official Gaynor, Robert Mark Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2010
Last updated Oct 7th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912218504 NPPES
Georgia MEDICAID 003177356A
Georgia MEDICAID 1740333061
Georgia MEDICAID 029761501
Georgia Other 0008364940

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