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Organization
DESTIN PODIATRY, LLC
Active
Organization
DESTIN PODIATRY, LLC
Active
Parent organization
DESTIN PODIATRY, LLC
Other names
Coastal Foot and Ankle, Coastal Foot & Ankle
Organization subpart
Yes
Provider details
NPI number
Legal business name
DESTIN PODIATRY, LLC
Authorized official
DR. THOMAS WHITFIELD ROBERTS DPM (OWNER)
(850) 650-6492
Entity
Organization
Contact information
Practice address
12216 PANAMA CITY BEACH PKWY STE C, PANAMA CITY BEACH, FL 32407-2728
(850) 650-6492
(850) 650-2178
Mailing address
2441 US HIGHWAY 98 W STE 102, SANTA ROSA BEACH, FL 32459-5386
(850) 650-6492
(850) 650-2178
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO3084
FL
Other
Enumeration date
07/18/2013
Last updated
06/13/2024
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