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Watkins Foot And Ankle Clinic LLC

Podiatrist, Foot & Ankle Surgery in Leesburg, FL. Organization (NPI-2).

NPI number1982146346
StatusActive
Last updated in NPPESOct 1, 2018

Details

NPI
1982146346
Entity type
Organization (NPI-2)
Legal business name
Watkins Foot And Ankle Clinic LLC
Organization subpart
No
Enumeration date
Nov 16, 2016
Last updated
Oct 1, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213ES0103X Podiatrist, Foot & Ankle SurgeryPO2769FLYes

Practice location

914 E Dixie Ave
Leesburg, FL 34748-7647

Phone 352-805-4317 · Fax 352-805-4298

Mailing address

914 E Dixie Ave
Leesburg, FL 34748-7647

Phone 352-805-4317 · Fax 352-805-4298

Authorized official

Chad C Watkins
Ceo
3528054317

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