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Organization
CENTRAL FLORIDA PODIATRY ASSOCIATES IPA, LLC
Active
Organization
CENTRAL FLORIDA PODIATRY ASSOCIATES IPA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL MCMANUS (EXECUTIVE DIRECTOR)
(407) 816-5031
Entity
Organization
Contact information
Practice address
1003 E WALLACE ST, ORLANDO, FL 32809-5172
(407) 816-5031
Mailing address
1003 E WALLACE ST, ORLANDO, FL 32809-5172
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
NULL
Other
Enumeration date
07/02/2009
Last updated
02/10/2010
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