Organization Name: | SOUTHERNMOST FOOT AND ANKLE SPECIALISTS |
NPI Number: | 1275721680 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRADLEY MAKIMAA (PHYSICIAN) |
Mailing Address: | 2855 Overseas Hwy Marathon |
State: | FL US |
Postal Code: | 330502239 |
Phone Number: | 3052426494 |
Fax Number: | |
NPI Enumeration Date: | 10/10/2007 |
NPI Last Update Date: | 06/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213EP1101X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Primary Podiatric Medicine |
Taxonomy Definition: |