Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Radiology |
213ER0200X | 48 | Podiatry | |
Podiatrist |
213E00000X | 48 | Podiatry | |
Sports Medicine |
213ES0000X | 48 | Podiatry | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry |
| NPI # | 1013083823 |
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| LBN Legal business name | CENTER FOR FOOT AND ANKLE CARE, P.C. | ||||||||||||
| Authorized official | JEFFREY WILPS - (PRESIDENT) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 11/27/2006 | ||||||||||||
| Last updated | 09/11/2025 - About 9 months ago | ||||||||||||
| Identifiers |
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