Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot |
213ES0131X | 48 | Podiatry |
| NPI # | 1881741221 |
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| LBN Legal business name | GULF COAST FOOT CLINIC PA | ||||||||||||||||||||
| Authorized official | RICHARD STEINBERG - (PRESIDENT) | ||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||
| Enumeration date | 01/05/2007 | ||||||||||||||||||||
| Last updated | 09/05/2008 - About 18 years ago | ||||||||||||||||||||
| Identifiers |
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