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Organization
NOURISH FOOT CARE LLC
Active
Organization
NOURISH FOOT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM DANZEISEN (DPM)
(904) 469-2432
Entity
Organization
Contact information
Practice address
8640 PHILIPS HWY, STE 10, JACKSONVILLE, FL 32256-1207
(904) 469-2432
(904) 779-3348
Mailing address
8640 PHILIPS HWY, STE 10, JACKSONVILLE, FL 32256-1207
(904) 469-2432
(904) 779-3348
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO1571
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017367800
—
FL
Enumeration date
12/29/2014
Last updated
04/05/2017
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