# OAKWOOD LAKES PODIATRY GROUP PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518082098
- **Authorized official:** BRAD S MATTISON (PRESIDENT)
- **Authorized official phone:** (561) 364-5522

## Contact information

- **Practice address:** 3695 W BOYNTON BEACH BLVD, BOYNTON BEACH, FL 33436-4516
- **Practice address phone:** (561) 364-5522
- **Mailing address:** 3695 W BOYNTON BEACH BLVD, BOYNTON BEACH, FL 33436-4516
- **Mailing address phone:** (561) 364-5522
- **Mailing address fax:** (561) 364-9823

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO 1994 | FL | Yes |

## Other

- **Enumeration date:** 03/21/2007
- **Last updated:** 11/04/2008