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Organization
OAKWOOD LAKES PODIATRY GROUP PA
Active
Organization
OAKWOOD LAKES PODIATRY GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD S MATTISON (PRESIDENT)
(561) 364-5522
Entity
Organization
Contact information
Practice address
3695 W BOYNTON BEACH BLVD, BOYNTON BEACH, FL 33436-4516
(561) 364-5522
Mailing address
3695 W BOYNTON BEACH BLVD, BOYNTON BEACH, FL 33436-4516
(561) 364-5522
(561) 364-9823
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO 1994
FL
Other
Enumeration date
03/21/2007
Last updated
11/04/2008
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