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Contact Information

ACTIVE FOOT CARE, INC.
2563 HUNTCLIFF LANE
PANAMA CITY, FL32405-4902
 Phone: 850-769-1055
 Fax: 850-769-1434
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ACTIVE FOOT CARE INC · (Female)

NPI # 1861665770
Status Active
Credentials
Entity Individual
Enumeration date 04/11/2008
Last updated 03/07/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # P02326
  • FL Medicaid 390159900
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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