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Contact Information

PODIATRY CENTER PA
135 1ST ST SOUTH
WINTER HAVEN, FL33880
 Phone: 863-293-1968
 Fax: 863-293-7961
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for PODIATRY CENTER PA · (Female)

NPI # 1477661395
Status Active
Credentials
Entity Individual
Enumeration date 08/29/2006
Last updated 04/20/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # PO 0001385
  • FL License # PO 0002193
  • FL Other 40418 MEDICARE ID
  • FL Other 1477661395 NPI
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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