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Organization
SUMMIT PODIATRY CENTER PLLC
Active
Organization
SUMMIT PODIATRY CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANN ORPHANOS DPM (PRESIDENT)
(228) 832-6008
Entity
Organization
Contact information
Practice address
15095 DEDEAUX ROAD, GULFPORT, MS 39503-3284
(228) 832-6008
(228) 832-6009
Mailing address
15095 DEDEAUX ROAD, GULFPORT, MS 39503-3284
(228) 832-6008
(228) 832-6009
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
12/10/2008
Last updated
01/14/2014
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