Organization Name: | THE FOOT & ANKLE CENTER, PC |
NPI Number: | 1437169075 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LEONARD MICHAEL TALARICO (PRESIDENT) |
Mailing Address: | 1000 Towne Center Blvd Suite 505 Pooler |
State: | GA US |
Postal Code: | 313224052 |
Phone Number: | 9123308885 |
Fax Number: | 9123308858 |
NPI Enumeration Date: | 08/08/2006 |
NPI Last Update Date: | 11/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 945 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |