Organization Name: | ANKLE AND FOOT CARE CENTERS |
NPI Number: | 1154707818 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAWRENCE DIDOMENICO (MANAGIING PARNTER) |
Mailing Address: | 444 S Meridian St Ste 7 Ravenna |
State: | OH US |
Postal Code: | 442662961 |
Phone Number: | 3302977330 |
Fax Number: | 3302980497 |
NPI Enumeration Date: | 08/05/2015 |
NPI Last Update Date: | 08/05/2015 |
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: |