CARL RICHARD ELLIS DPM

CRESTVIEW, FL
NPI1992985782
Entity TypeOrganization
Authorized ContactCARL RICHARD ELLIS
Owner
850-682-1778
Organization Subpart ?No
Primary Taxonomy213E00000X Podiatrist
Enumeration Date2007-11-08
Last Update Date2011-09-14
Business Address
CARL RICHARD ELLIS DPM
416 JUNIPER DR
CRESTVIEW, FL 32536-9223
Phone number: 850-682-1778
Mailing Address
CARL RICHARD ELLIS DPM
416 JUNIPER DR
CRESTVIEW, FL 32536-9223
Phone number: 850-682-1778
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