# HEATH FOOT AND LEG CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033168281
- **Authorized official:** DAVID JOHN HEATH D.P.M. (PRESIDENT)
- **Authorized official phone:** (954) 243-8176

## Contact information

- **Practice address:** 2525 EMBASSY DR, SUITE 4, COOPER CITY, FL 33026-4573
- **Practice address phone:** (954) 243-8176
- **Mailing address:** 8135 NW 198TH TER, MIAMI GARDENS, FL 33015-6390
- **Mailing address phone:** (305) 816-0073

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO3203 | FL | Yes |

## Other

- **Enumeration date:** 05/07/2006
- **Last updated:** 08/22/2020
