Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry | |
Podiatrist |
213E00000X | 48 | Podiatry | |
Primary Podiatric Medicine |
213EP1101X | 48 | Podiatry | |
Public Health |
213EP0504X | 48 | Podiatry | |
Surgery, Foot |
213ES0131X | 48 | Podiatry |
| NPI Number | 1356333777 |
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| LBN Legal business name | ORLAND PODIATRY CENTER, LLC | ||||
| Authorized official | FORTUNEE MASSUDA - (MEDICAL DIRECTOR/CEO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 08/22/2005 | ||||
| Last updated | 07/17/2008 - About 18 years ago | ||||
| Identifiers |
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ORLAND PODIATRY CENTER, LLC
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