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Organization
FOOT AND ANKLE SPECIALISTS OF CLEARWATER, LLC
Active
Organization
FOOT AND ANKLE SPECIALISTS OF CLEARWATER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASMA KHAN (ADMINISTRATOR)
(773) 550-8401
Entity
Organization
Contact information
Practice address
4625 E BAY DR STE 106, CLEARWATER, FL 33764-6866
(727) 434-4468
Mailing address
4625 E BAY DR STE 106, CLEARWATER, FL 33764-6866
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
05/05/2023
Last updated
04/18/2024
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