M.D. Wellness Centers, P.A.
Podiatrist, Foot & Ankle Surgery in North Miami Beach, FL. Organization (NPI-2).
NPI number1083658868
StatusActive
Last updated in NPPESMar 2, 2011
Details
- NPI
- 1083658868
- Entity type
- Organization (NPI-2)
- Legal business name
- M.D. Wellness Centers, P.A.
- Organization subpart
- No
- Enumeration date
- Jun 15, 2006
- Last updated
- Mar 2, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | PO 2963 | FL | Yes |
| 213E00000X | Podiatrist | PO 2963 | FL | |
| 213ES0000X | Podiatrist, Sports Medicine | PO 2963 | FL | |
| 213ER0200X | Podiatrist, Radiology | PO 2963 | FL |
Practice location
1131 Ne 163rd StNorth Miami Beach, FL 33162-4502
Phone 305-342-9797
Mailing address
Po Box 140819Coral Gables, FL 33114-0819
Phone 305-342-9797
Authorized official
Marla Lavoice
President
3053429797
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