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Footwear By Design

Durable Medical Equipment & Medical Supplies in Longwood, FL. Organization (NPI-2).

NPI number1962542019
StatusActive
Last updated in NPPESMar 6, 2009

Details

NPI
1962542019
Entity type
Organization (NPI-2)
Legal business name
Footwear By Design
Organization subpart
No
Enumeration date
Feb 7, 2007
Last updated
Mar 6, 2009

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical SuppliesPed154FLYes
335E00000X Prosthetic/Orthotic SupplierPed154FL

Practice location

1967 Longwood Lake Mary Rd
Suite 1001
Longwood, FL 32750-4673

Phone 407-323-7441 · Fax 407-323-1964

Mailing address

1967 Longwood Lake Mary Rd
Suite 1001
Longwood, FL 32750-4673

Phone 407-323-7441 · Fax 407-323-1964

Authorized official

Pamela Ann Eckenrode
Owner
4073237441

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Durable Medical Equipment & Medical Supplies providers in Longwood, FL

All 31 Durable Medical Equipment & Medical Supplies providers in Longwood · All 1,778 providers in Longwood

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