# ADVANCED AGILITY FOOT & ANKLE, LLC

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

## Provider details

- **NPI number:** 1346731742
- **Authorized official:** MATTHEW MARTINCEVIC DPM (OWNER)
- **Authorized official phone:** (405) 227-8453

## Contact information

- **Practice address:** 1151 MIRANDA LN, KISSIMMEE, FL 34741-0763
- **Practice address phone:** (405) 227-8453
- **Practice address fax:** (407) 483-4139
- **Mailing address:** 3001 LANGDON LN N, KISSIMMEE, FL 34741-7714

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO3871 | FL | Yes |

## Other

- **Enumeration date:** 05/22/2018
- **Last updated:** 05/22/2018