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THE DOCTORS SHOE STORE
NPI 1790846020
Durable Medical Equipment & Medical Supplies in Port St Lucie, FL

Active since December 12, 2006
1228 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952(772) 380-9998 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About The Doctors Shoe Store NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE DOCTORS SHOE STORE (NPI 1790846020) is a healthcare organization registered as a durable medical equipment & medical supplies in Port St Lucie, Florida and active in the NPI registry since December 2006. The organization lists Russell Miles Blatstein, Owner, as its authorized official.

NPPES Registry Identity

NPI1790846020
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameTHE DOCTORS SHOE STORE
Location Address1228 SE PORT ST LUCIE BLVDPort St Lucie, FL 34952-5330
Mailing Address1228 Se Port St Lucie BlvdPort St Lucie, FL 34952-5330 · (772) 380-9998
Phone(772) 380-9998
Organization SubpartNo
Authorized OfficialRussell Miles BlatsteinOwner · (772) 380-9998
Enumeration DateDecember 12, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1790846020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in FL · 121954071029341
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.
1228 SE PORT ST LUCIE BLVD, Port St Lucie, FL 34952
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Other Identifiers 1

OtherR9845FL · Bcbs

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KELLY M MEREDITH D.C.
Chiropractor
1228 SE PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL 34952
St. Lucie County (772) 878-9355
TOTAL BACK AND BODY CENTER, PLLC
Clinic/Center (Health Service)
1228 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952
St. Lucie County (772) 878-9355

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Doctors Shoe Store's NPI number?

The NPI number for The Doctors Shoe Store is 1790846020. It was assigned to this organization in the NPPES registry on December 12, 2006.

Where is The Doctors Shoe Store located?

The Doctors Shoe Store is located at 1228 SE Port St Lucie Blvd, Port St Lucie, FL 34952. The listed phone number is (772) 380-9998.

What is The Doctors Shoe Store's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for The Doctors Shoe Store was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.