NPI | 1376621888 |
---|---|
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 PO3199) |
213EP1101X Podiatrist Primary Podiatric Medicine (Licence: FL PO3199) | |
213EP1101X Podiatrist Primary Podiatric Medicine (Licence: FL PO2569) | |
213ES0103X Podiatrist Foot & Ankle Surgery (Licence: FL PO3199) | |
213ES0103X Podiatrist Foot & Ankle Surgery (Licence: FL PO2569) | |
213ES0131X Podiatrist Foot Surgery (Licence: FL PO3199) | |
213ES0131X Podiatrist Foot Surgery (Licence: FL PO2569) | |
Enumeration Date | 2006-11-01 |
Last Update Date | 2011-09-30 |