# ELITE PODIATRY & SURGICAL INSTITUTE INC

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

## Provider details

- **NPI number:** 1639051196
- **Authorized official:** MR. ANTOINE WATTS (EXECUTIVE CREDENTIALING MANAGER)
- **Authorized official phone:** (407) 948-0004

## Contact information

- **Practice address:** 660 PALM SPRINGS DR STE D, ALTAMONTE SPRINGS, FL 32701-7864
- **Practice address phone:** (407) 948-0004
- **Mailing address:** 660 PALM SPRINGS DR STE D, ALTAMONTE SPRINGS, FL 32701-7864
- **Mailing address phone:** (407) 948-0004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 07/24/2025
- **Last updated:** 07/24/2025