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NPI 1861646002 · live from the CMS NPI Registry

Advanced Foot & Ankle Of Central Florida

Podiatrist, Foot & Ankle Surgery in Ocoee, FL. National Provider Identifier 1861646002, active.

NPI record

NPI1861646002 Type 2 · organization
StatusActive
Primary specialtyPodiatrist, Foot & Ankle Surgery 213ES0103X
Practice location1140 Kelton Ave, Bldg #3, Ocoee, FL 34761
Practice phone407-521-7999
EnumeratedNovember 14, 2008
Last updatedApril 6, 2012
Authorized officialNick Mahavir, Owner/Podiatrist

Taxonomies and licenses

TaxonomyCodeLicense
Podiatrist, Foot & Ankle Surgery primary213ES0103X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.