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Contact Information

LAKE FOOT CLINIC INC
629 S GROVE ST
EUSTIS, FL32726
 Phone: 352-589-1335
 Fax: 352-589-1336
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for LAKE FOOT CLINIC INC · (Female)

NPI Number 1306015748
Status Active
Credentials
Entity Individual
Enumeration date 02/29/2008
Last updated 11/12/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # PO1193
  • FL Other K8096 MEDICARE GROUP NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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