ELITE SPORTS PODIATRY, PA

CLEARWATER, FL
NPI1356743207
Entity TypeOrganization
Authorized ContactBRIAN WILLIAM FULLEM
Medical Doctor/Owner
203-241-2582
Organization Subpart ?No
Primary Taxonomy213ES0131X 
(Licence: FL  PO3445)
Enumeration Date2014-09-23
Last Update Date2015-01-07
Business Address
ELITE SPORTS PODIATRY, PA
1700 N MCMULLEN BOOTH RD SUITE C-2
CLEARWATER, FL 33759-2130
Phone number: 727-330-7646
Mailing Address
ELITE SPORTS PODIATRY, PA
1700 N MCMULLEN BOOTH RD STE C2
CLEARWATER, FL 33759-2129
Phone number: 727-330-7646
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