location
search-icon
person
Dr. Alexis Tam Mugno, DPM
Student in an Organized Health Care Education/Training Program in Orange Park, Florida
NPI 1104480284

Alexis Tam Mugno is a Student in an Organized Health Care Education/Training Program based in Jacksonville, FL. Alexis Tam Mugno practices in Orange Park, FL and has the professional credentials of DPM. The NPI Number for Alexis Tam Mugno is 1104480284 and holds a License No. PO4300 (Florida).

The current practice location address for Alexis Tam Mugno is 2300 Park Ave Ste 206, Orange Park, FL and can be reached out via phone at 904-634-0640 and via fax at 904-634-0203.

Location: 2300 Park Ave Ste 206, Orange Park, FL, 32216-8203
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104480284
Provider Name
Alexis Tam Mugno
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
2300 Park Ave Ste 206, Orange Park, FL, 32216-8203
Phone Number
904-634-0640
Fax Number
904-634-0203
Provider Enumeration Date
04/24/2019
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2300 Park Ave Ste 206
City
Orange Park
State
Florida
Zip
32073-5573
Phone Number
904-634-0640
Fax Number
904-634-0203
person
Provider Business Mailing Address Details
Address
2300 Park Ave Ste 206
City
Orange Park
State
Florida
Zip
32073-5573
Phone Number
904-634-0640
Fax Number
904-634-0203
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
()
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
PO4300 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.