MEDICARE: FOOTWAY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BC3200X	Customized Equipment (DME)	PED37	FL

General Provider Information

NPI Number	:	1760400162
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOOTWAY

Provider Business Mailing Address
First Line	:	6131C LAKE WORTH RD
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33463-3074
Country	:	US
Telephone Number	:	561-964-8627
Fax Number	:	561-964-1091

Provider Business Practice Location Address
First Line	:	6131C LAKE WORTH RD
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33463-3074
Country	:	US
Telephone Number	:	561-964-8627
Fax Number	:	561-964-1091

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. PETER P. ARENA JR.
Credential	:	NONE
Telephone Number	:	561-964-8627

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	03/20/2013

Similar Medicare Providers

1316042682 — PETER P ARENA JR.
Practice Location Address:

6131 LAKE WORTH RD , #C
GREENACRES, FL
33463-3074

Practice Phone: 561-964-8627
Practice Fax: 561-964-1091

1215024641 — DR. RICHARD ALAN STEINFELD DMD
Practice Location Address:

6137 LAKE WORTH RD
GREENACRES, FL
33463-3074

Practice Phone: 561-965-3933
Practice Fax: 561-965-9303

1437238516 — DR. ROBERT GARY VICTOME DDS
Practice Location Address:

6137 LAKE WORTH RD
GREENACRES, FL
33463-3074

Practice Phone: 561-357-1009
Practice Fax: 561-969-7624

1902002355 — MR. CHARLES RUBEN PILLOT L.M.T
Practice Location Address:

6133 LAKE WORTH RD
GREENACRES, FL
33463-3074

Practice Phone: 561-432-1399
Practice Fax: 561-432-1388

1255639076 — LYNDEN NURSING SERVICE
Practice Location Address:

6149 LAKE WORTH RD
GREENACRES, FL
33463-3074

Practice Phone: 561-932-9440
Practice Fax: 561-966-1245

1376977447 — SUSAN L MCCRACKEN ARNP
Practice Location Address:

6135 LAKE WORTH RD
GREENACRES, FL
33463-3074

Practice Phone: 561-740-2900
Practice Fax: 561-434-4618

Directions to “FOOTWAY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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