Organization · Type 2 NPI

Longwood Foot & Ankle Physician PA

Foot & Ankle Surgery Podiatrist · Longwood, FL

NPI number 1942495445 Active

Practice location

521 W State Road 434, Suite 300
Longwood, FL 32750-4984

Fax (407) 332-6226

Mailing address

1441 Langham Ter
Lake Mary, FL 32746-1967

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XPO3179 (FL)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1942495445

Longwood Foot & Ankle Physician PA's National Provider Identifier is 1942495445, issued on Sep 9, 2007. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Longwood, FL. The record was last updated on Sep 9, 2007.