Peace River Ankle & Foot, Pl
Podiatrist, Foot & Ankle Surgery in Port Charlotte, FL. Organization (NPI-2).
NPI number1023329331
StatusActive
Last updated in NPPESMar 3, 2011
Details
- NPI
- 1023329331
- Entity type
- Organization (NPI-2)
- Legal business name
- Peace River Ankle & Foot, Pl
- Organization subpart
- No
- Enumeration date
- Jul 1, 2010
- Last updated
- Mar 3, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | PO3264 | FL | Yes |
Practice location
3440 Conway Blvd1d
Port Charlotte, FL 33952-7000
Phone 941-624-3668
Mailing address
3440 Conway Blvd1d
Port Charlotte, FL 33952-7000
Phone 941-624-3668
Authorized official
Holly K Waddell
Owner/Podiatrist
9416243668
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All 10 Foot & Ankle Surgery Podiatrist providers in Port Charlotte · All 2,518 providers in Port Charlotte
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