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Podiatry Network Solutions Of Louisiana, LLC

Podiatrist in Miami, FL. Organization (NPI-2).

NPI number1003000357
StatusActive
Last updated in NPPESAug 17, 2011

Details

NPI
1003000357
Entity type
Organization (NPI-2)
Legal business name
Podiatry Network Solutions Of Louisiana, LLC
Organization subpart
No
Enumeration date
Aug 30, 2007
Last updated
Aug 17, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213E00000X Podiatrist––Yes

Practice location

7220 Nw 36th St
Suite 103
Miami, FL 33166-6700

Phone 786-924-0044 · Fax 305-667-8860

Mailing address

7220 Nw 36th St
Suite 103
Miami, FL 33166-6700

Phone 786-924-0044 · Fax 305-667-8860

Authorized official

Ron Johnson
President
7869240044

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