# CENTRAL FLORIDA FOOT AND ANKLE

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

## Provider details

- **NPI number:** 1093809097
- **Authorized official:** DR. TATIANA A WELLENS-BRUSCHAYT D.P.M, PHD (PRESIDENT)
- **Authorized official phone:** (863) 299-4551

## Contact information

- **Practice address:** 101 6TH ST NW, WINTER HAVEN, FL 33881-4630
- **Practice address phone:** (863) 299-4551
- **Practice address fax:** (863) 299-2310
- **Mailing address:** PO BOX 7472, WINTER HAVEN, FL 33883-7472
- **Mailing address phone:** (863) 299-4551
- **Mailing address fax:** (863) 299-2310

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO2760 | FL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO2804 | FL | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO3070 | FL | — |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 03/07/2008