Organization Name: | COMPREHENSIVE FOOT AND ANKLE CENTER PA |
NPI Number: | 1053585851 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GEORGE TJAMALOUKAS (PRESIDENT) |
Mailing Address: | 2650 Narnia Way Suite 101 Land O Lakes |
State: | FL US |
Postal Code: | 346387271 |
Phone Number: | 8139090865 |
Fax Number: | 8139499532 |
NPI Enumeration Date: | 04/14/2008 |
NPI Last Update Date: | 03/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | PO3177 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |