Organization · Type 2 NPI
Certified Foot & Ankle Specialists
Non-Pharmacy Dispensing Site · Palm City, FL
NPI number
1104358357
Active
Practice location
2664 SW Immanuel Dr
Palm City, FL 34990-2738
Fax (772) 288-3341
Mailing address
1601 Clint Moore Rd, Suite 130
Boca Raton, FL 33487-2768
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO3007 (FL) |
| Non-Pharmacy Dispensing Site Primary | 332900000X | None listed |
Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
2 other providers at this address
About NPI 1104358357
Certified Foot & Ankle Specialists's National Provider Identifier is 1104358357, issued on Mar 28, 2017. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Palm City, FL. The record was last updated on Oct 9, 2024.