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Organization
PODIATRY GROUP LLC
Active
Organization
PODIATRY GROUP LLC
Active
Parent organization
PODIATRY GROUP LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PODIATRY GROUP LLC
Authorized official
BAMIDELE OLUPONA MD (MEDICAL DOCTOR)
(305) 859-0569
Entity
Organization
Contact information
Practice address
7190 SW 87TH AVE STE 403, MIAMI, FL 33173-2512
(305) 456-0772
Mailing address
7190 SW 87TH AVE STE 403, MIAMI, FL 33173-2512
(305) 456-0772
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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