Organization Name: | FLORIDA FOOT & ANKLE, LLC |
NPI Number: | 1144439860 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHEN J SPROHA (PODIATRIST) |
Mailing Address: | 3114 Ne Loquat Ln Jensen Beach |
State: | FL US |
Postal Code: | 349575088 |
Phone Number: | 7723345377 |
Fax Number: | |
NPI Enumeration Date: | 05/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | PO2736 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |