Organization · Type 2 NPI
Palm Tree Lower Extremity, LLC
Foot & Ankle Surgery Podiatrist · St. Petersburg, FL
NPI number
1215439740
Active
Practice location
250 Carillon Pkwy Unit 509
St. Petersburg, FL 33716-1402
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | None listed |
| Sports Medicine Podiatrist | 213ES0000X | None listed |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | None listed |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1215439740
Palm Tree Lower Extremity, LLC's National Provider Identifier is 1215439740, issued on Feb 28, 2018. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in St. Petersburg, FL. The record was last updated on Jun 23, 2022.