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1831574557
PREMIUM PODIATRY HEALTHCARE & SERVICES, INC.
MIAMI, FL
NPI
1831574557
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Entity Type
Organization
Authorized Contact
LISA M DETOURNAY
Owner/Podiatrist
305-710-1971
Organization Subpart ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: CA E5133)
Enumeration Date
2015-07-23
Last Update Date
2020-08-12
Business Address
PREMIUM PODIATRY HEALTHCARE & SERVICES, INC.
1611 NW 12TH AVE
MIAMI, FL 33136-1005
Phone number: 305-710-1971
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Mailing Address
PREMIUM PODIATRY HEALTHCARE & SERVICES, INC.
1235 MARIPOSA AVE APT 2
CORAL GABLES, FL 33146-3252
Phone number: 305-710-1971
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