Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry |
| NPI # | 1427442094 |
| LBN Legal business name | HEELING SOLES PODIATRY LLC |
| Authorized official | JASON LUTTRELL - (OWNER/CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/22/2015 |
| Last updated | 02/12/2024 - About 2 years ago |
| Identifiers | n/a |
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| BRUCE N KRAMER, DPM 2014 S ORANGE AVE STE 100 ORLANDO, FL |
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