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Organization
PALM TREE LOWER EXTREMITY, LLC
Active
Organization
PALM TREE LOWER EXTREMITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABIOLA J. OKI DPM (OWNER)
(973) 973-5926
Entity
Organization
Contact information
Practice address
250 CARILLON PKWY UNIT 509, SAINT PETERSBURG, FL 33716-1402
(973) 986-5926
Mailing address
250 CARILLON PKWY UNIT 509, SAINT PETERSBURG, FL 33716-1402
(973) 986-5926
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
—
NULL
213EP1101X
Primary Podiatric Medicine Podiatrist
—
—
213ES0000X
Sports Medicine Podiatrist
—
NULL
213ES0000X
Sports Medicine Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
02/28/2018
Last updated
06/23/2022
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