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Organization
FOOT AND ANKLE SPORT CENTER LLC
Active
Organization
FOOT AND ANKLE SPORT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUGUSTINE A. BOLLO DPM (OWNER)
(954) 450-0099
Entity
Organization
Contact information
Practice address
17751 SW 2ND ST, PEMBROKE PINES, FL 33029-3924
(954) 450-0099
(866) 381-9207
Mailing address
17751 SW 2ND ST, PEMBROKE PINES, FL 33029-3924
(954) 450-0099
(866) 381-9207
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO2570
FL
Other
Enumeration date
11/23/2010
Last updated
09/16/2016
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