# INSTITUTE FOR FOOT AND ANKLE SURGERY

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

## Provider details

- **NPI number:** 1033296173
- **Authorized official:** ADAOBI OGUCHI (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (386) 774-2200

## Contact information

- **Practice address:** 955 TOWN CENTER DR STE 100, ORANGE CITY, FL 32763-8255
- **Practice address phone:** (386) 774-2200
- **Practice address fax:** (386) 774-2202
- **Mailing address:** 955 TOWN CENTER DR STE 100, ORANGE CITY, FL 32763-8255
- **Mailing address phone:** (386) 774-2200
- **Mailing address fax:** (867) 742-2202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO3038 | FL | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 05/15/2023
