Organization · Type 2 NPI
White Sands Podiatry LLC
Foot & Ankle Surgery Podiatrist · Crestview, FL
NPI number
1659765865
Active
Practice location
502 S Ferdon Blvd
Crestview, FL 32536-4238
Fax (888) 302-6552
Mailing address
981 US Hwy 98, Ste 3410
Destin, FL 32541
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | PO3469 (FL) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1659765865
White Sands Podiatry LLC's National Provider Identifier is 1659765865, issued on Mar 25, 2015. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Crestview, FL. The record was last updated on Dec 5, 2024.