# PREMIER FLORIDA PODIATRY, PA

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

## Provider details

- **NPI number:** 1235631474
- **Authorized official:** DR. MARIA T IBANEZ DPM (PRESIDENT)
- **Authorized official phone:** (786) 530-7250

## Contact information

- **Practice address:** 3060 NE 190TH ST APT 202, AVENTURA, FL 33180
- **Practice address phone:** (786) 530-7250
- **Mailing address:** 3060 NE 190TH ST APT 202, AVENTURA, FL 33180-3132
- **Mailing address phone:** (786) 530-7250

## Taxonomy

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

## Other

- **Enumeration date:** 03/04/2018
- **Last updated:** 07/24/2018