| Organization Name: | WHITE SANDS PODIATRY |
| NPI Number: | 1659765865 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KASEY NICOLE HANDWERKER (CFO) |
| Mailing Address: | 7720 Us Highway 98 W Miramar Beach |
| State: | FL US |
| Postal Code: | 325507230 |
| Phone Number: | 8508326399 |
| Fax Number: | 8508554045 |
| NPI Enumeration Date: | 03/25/2015 |
| NPI Last Update Date: | 04/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | PO3469 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |