# ANKLE & FOOT SPECIALISTS PA

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

## Provider details

- **NPI number:** 1396994166
- **Authorized official:** DR. KINLEY WAYNE HOWARD D.P.M, C.R.N.A. (OWNER)
- **Authorized official phone:** (850) 497-8876

## Contact information

- **Practice address:** 12385 SORRENTO RD, SUITE D-4, PENSACOLA, FL 32507-8664
- **Practice address phone:** (850) 497-8876
- **Practice address fax:** (850) 497-1721
- **Mailing address:** 12385 SORRENTO RD, SUITE D-4, PENSACOLA, FL 32507-8664
- **Mailing address phone:** (850) 497-8876
- **Mailing address fax:** (850) 497-1721

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO2112 | FL | Yes |
| 363L00000X | Nurse Practitioner | ARNP2539562 | FL | — |
| 367500000X | Certified Registered Nurse Anesthetist | ARNP2539562 | FL | — |

## Other

- **Enumeration date:** 09/16/2008
- **Last updated:** 09/15/2011
