institution
Lake Foot And Ankle Pa
Foot & Ankle Surgery Podiatrist in Leesburg, Florida
NPI 1780773317

Lake Foot And Ankle Pa is a Foot & Ankle Surgery Podiatrist based in Leesburg, FL and is specialized in Foot & Ankle Surgery. Lake Foot And Ankle Pa practices in Leesburg, FL. The NPI Number for Lake Foot And Ankle Pa is 1780773317 and holds a License No. PO 3114 (Florida).

The current practice location address for Lake Foot And Ankle Pa is 1330 Citizens Blvd, Leesburg, FL and can be reached out via phone at 352-728-1252 and via fax at 352-728-0079.

Location: 1330 Citizens Blvd, Leesburg, FL, 34748-3959
institution
Provider Profile Details
NPI Number
1780773317
Provider Name
Lake Foot And Ankle Pa
Credential
Provider Entity Type
Organization
Address
1330 Citizens Blvd, Leesburg, FL, 34748-3959
Phone Number
352-728-1252
Fax Number
352-728-0079
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DG4530 01 FL RAILROAD MEDICARE GROUP
P00436246 01 FL RAILROAD MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
1330 Citizens Blvd
City
State
Zip
34748-3959
Phone Number
352-728-1252
Fax Number
352-728-0079
person
Provider Business Mailing Address Details
Address
1330 Citizens Blvd
City
State
Zip
34748-3959
Phone Number
352-728-1252
Fax Number
352-728-0079
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
PO 3114 (Florida)
Definition
Definition to come...
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