Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry |
| NPI Number | 1700386992 |
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| LBN Legal business name | ELITE FOOT & ANKLE ASSOCIATES LLC | ||||
| Authorized official | TREVOR HAYNES - (OWNER/MANAGER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 02/14/2018 | ||||
| Last updated | 11/04/2024 - More than a year ago | ||||
| Identifiers |
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