Organization Name: | TEAM FEET INC |
NPI Number: | 1326384702 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SCOTT S STROLLA (PRESIDENT) |
Mailing Address: | 1411 N Flagler Dr Ste 4100 West Palm Bch |
State: | FL US |
Postal Code: | 334013436 |
Phone Number: | 5616593930 |
Fax Number: | 5618331009 |
NPI Enumeration Date: | 12/12/2012 |
NPI Last Update Date: | 12/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | PO2462 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |