| NPI | 1366600959 |
|---|---|
| Doing Business As | ADVANCED FOOT AND ANKLE SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | MARK G LEITNER Medical Director 813-571-2977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: FL PO2569) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: FL PO3189) |
| 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: FL PO2569) | |
| 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: FL PO3199) | |
| 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: FL PO2569) | |
| 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: FL PO3199) | |
| 213ES0131X Podiatrist Foot Surgery (Licence: FL PO2569) | |
| 213ES0131X Podiatrist Foot Surgery (Licence: FL PO3199) | |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2008-05-30 |