Individual provider · Type 1 NPI
Johan Ponce, DPM
Foot & Ankle Surgery Podiatrist · Tampa, FL
NPI number
1083459069
Active
Practice location
13000 Bruce B Downs Blvd
Tampa, FL 33612-4745
Mailing address
11757 Mango Cross Ct
Seffner, FL 33584-6411
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | PR853 (FL) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1083459069
Johan Ponce, DPM's National Provider Identifier is 1083459069, issued on Jul 1, 2024. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Tampa, FL. The record was last updated on Jul 1, 2024.