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Organization
JAWS PODIATRY, INC.
Active
Organization
JAWS PODIATRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER WAGNER (OWNER)
(954) 922-7333
Entity
Organization
Contact information
Practice address
3700 WASHINGTON ST STE 403, HOLLYWOOD, FL 33021-8249
(954) 922-7333
(954) 248-6925
Mailing address
3700 WASHINGTON ST STE 403, HOLLYWOOD, FL 33021-8249
(954) 922-7333
(954) 248-6925
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
12/16/2009
Last updated
05/17/2022
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