NPI 1467090639 · live from the CMS NPI Registry
Ankle Foot And Leg Centers INC.
Podiatrist, Primary Podiatric Medicine in Orange Park, FL. National Provider Identifier 1467090639, active.
NPI record
| NPI | 1467090639 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Primary Podiatric Medicine 213EP1101X |
| Practice location | 3075 Chestnut Ridge Way, Orange Park, FL 32065 |
| Practice phone | 321-591-8039 |
| Enumerated | December 18, 2019 |
| Last updated | December 11, 2023 |
| Authorized official | Dedrick Daniels, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Primary Podiatric Medicine primary | 213EP1101X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.