| Organization Name: | LAWRENCE MADIEFSKY,DPM,PA |
| NPI Number: | 1013281278 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAWRENCE MADIEFSKY (PRESIDENT) |
| Mailing Address: | 8110 Royal Palm Blvd Suite 110 Coral Springs |
| State: | FL US |
| Postal Code: | 330655795 |
| Phone Number: | 9543418513 |
| Fax Number: | 9543418514 |
| NPI Enumeration Date: | 03/05/2012 |
| NPI Last Update Date: | 03/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP1100X |
| License Number: | 1602 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Podiatric |
| Taxonomy Definition: | |