# FOOT AND ANKLE SPECIALISTS OF CLEARWATER, LLC

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

## Provider details

- **NPI number:** 1154010056
- **Authorized official:** ASMA KHAN (ADMINISTRATOR)
- **Authorized official phone:** (773) 550-8401

## Contact information

- **Practice address:** 4625 E BAY DR STE 106, CLEARWATER, FL 33764-6866
- **Practice address phone:** (727) 434-4468
- **Mailing address:** 4625 E BAY DR STE 106, CLEARWATER, FL 33764-6866

## Taxonomy

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

## Other

- **Enumeration date:** 05/05/2023
- **Last updated:** 04/18/2024