| Organization Name: | FEITZ FOOT CLINIC PA |
| NPI Number: | 1073886685 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANIEL EUGENE FEITZ (OWNER) |
| Mailing Address: | 3025 6th St Marianna |
| State: | FL US |
| Postal Code: | 324461930 |
| Phone Number: | 8507849787 |
| Fax Number: | 8507849619 |
| NPI Enumeration Date: | 02/13/2012 |
| NPI Last Update Date: | 02/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | PO-2094 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |