Organization · NPI-2

South Florida Foot & Ankle Institute, LLC

Podiatrist, Foot & Ankle Surgery · Homestead, FL

NPI number1922719715
StatusActive
Last updated in NPPESDec 13, 2022

Details

NPI
1922719715
Entity type
Organization (NPI-2)
Legal business name
South Florida Foot & Ankle Institute, LLC
Organization subpart
No
Enumeration date
Dec 12, 2022
Certification date
Dec 13, 2022
Last updated
Dec 13, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213ES0103X Podiatrist, Foot & Ankle Surgery––Yes

Practice location

1036 Nw 1st Ave
Homestead, FL 33030-4417

Phone 833-735-3668 · Fax 866-897-7014

Mailing address

8950 Sw 74th Ct Ste 1408
Miami, FL 33156-3173

Phone 833-735-3668 · Fax 866-897-7014

Authorized official

Peter H Hanna
Ceo
8337353668

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