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Contact Information

JUPITER FOOT AND ANKLE PA
651 W INDIANTOWN ROAD
SUITE K
JUPITER, FL33458
 Phone: 561-741-4900
 Fax: 561-741-4918
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JUPITER FOOT AND ANKLE PA · (Female)

NPI Number 1609981083
Status Active
Credentials
Entity Individual
Enumeration date 08/19/2006
Last updated 10/27/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # PO2828
  • FL Medicaid 3402606-00
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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