Organization Name: | FLORIDA FOOT & ANKLE ASSOCIATES, LLC |
NPI Number: | 1003015330 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THOMAS ZWICK (PRESIDENT) |
Mailing Address: | 18100 Ne 19th Ave Ste 102 North Miami Beach |
State: | FL US |
Postal Code: | 331621606 |
Phone Number: | 3059442555 |
Fax Number: | 3056739259 |
NPI Enumeration Date: | 07/17/2007 |
NPI Last Update Date: | 08/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |