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Kelly A. Poncheri Dpm Pa
Foot & Ankle Surgery Podiatrist in Lakeland, Florida
NPI 1619269362

Kelly A. Poncheri Dpm Pa is a Foot & Ankle Surgery Podiatrist based in Lakeland, FL and is specialized in Foot & Ankle Surgery. Kelly A. Poncheri Dpm Pa practices in Lakeland, FL. The NPI Number for Kelly A. Poncheri Dpm Pa is 1619269362 and holds a License No. PO 3478 (Florida).

The current practice location address for Kelly A. Poncheri Dpm Pa is 4692 Exploration Ave, Lakeland, FL and can be reached out via phone at 239-278-1155.

Location: 4692 Exploration Ave, Lakeland, FL, 33812-4107
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619269362
Provider Name
Kelly A. Poncheri Dpm Pa
Credential
Provider Entity Type
Organization
Address
4692 Exploration Ave, Lakeland, FL, 33812-4107
Phone Number
239-278-1155
Fax Number
Provider Enumeration Date
05/12/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PO 3478 01 FL MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
4692 Exploration Ave
City
Lakeland
State
Florida
Zip
33812-4107
Phone Number
239-278-1155
Fax Number
person
Provider Business Mailing Address Details
Address
4692 Exploration Ave
City
Lakeland
State
Florida
Zip
33812-4107
Phone Number
239-278-1155
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
PO 3478 (Florida)
Definition
Definition to come...
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