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Organization
DOCTOR PODIATRY LLC
Active
Organization
DOCTOR PODIATRY LLC
Active
Other names
RYAN MEDINA OAKLEY DPM LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN MEDINA OAKLEY DPM (OWNER)
(305) 930-7934
Entity
Organization
Contact information
Practice address
10260 SW 56TH ST STE 101, MIAMI, FL 33165-7021
(305) 930-7934
(305) 203-4891
Mailing address
4131 SW 102ND CT, MIAMI, FL 33165-4943
(305) 930-7934
(305) 203-4891
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
261QP1100X
Podiatric Clinic/Center
—
—
Other
Enumeration date
08/22/2019
Last updated
07/31/2026
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