Organization Name: | POLIZZI ADVANCE FOOT CARE PA |
NPI Number: | 1023113024 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LOUIS POLIZZI (PRESIDENT) |
Mailing Address: | 208 Main St Auburndale |
State: | FL US |
Postal Code: | 338233404 |
Phone Number: | 8634222356 |
Fax Number: | 8634210087 |
NPI Enumeration Date: | 09/14/2006 |
NPI Last Update Date: | 12/21/2011 |
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: |