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East Coast Podiatry Inc
Foot & Ankle Surgery Podiatrist in Ormond Beach, Florida
NPI 1104014208

East Coast Podiatry Inc is a Foot & Ankle Surgery Podiatrist based in Ormond Beach, FL and is specialized in Foot & Ankle Surgery. East Coast Podiatry Inc practices in Ormond Beach, FL. The NPI Number for East Coast Podiatry Inc is 1104014208 and holds a License No. (Florida).

The current practice location address for East Coast Podiatry Inc is 233 Osceola Ave, Ormond Beach, FL and can be reached out via phone at 386-672-6424 and via fax at 386-672-5251.

Location: 233 Osceola Ave, Ormond Beach, FL, 32176-6638
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104014208
Provider Name
East Coast Podiatry Inc
Credential
Provider Entity Type
Organization
Address
233 Osceola Ave, Ormond Beach, FL, 32176-6638
Phone Number
386-672-6424
Fax Number
386-672-5251
Provider Enumeration Date
10/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
K0055 01 MEDICARE GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
233 Osceola Ave
City
Ormond Beach
State
Florida
Zip
32176-6638
Phone Number
386-672-6424
Fax Number
386-672-5251
person
Provider Business Mailing Address Details
Address
233 Osceola Ave
City
Ormond Beach
State
Florida
Zip
32176-6638
Phone Number
386-672-6424
Fax Number
386-672-5251
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
()
Definition
Definition to come...
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