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Organization
PREMIER PODIATRY ASSOCIATES, LLC
Active
Organization
PREMIER PODIATRY ASSOCIATES, LLC
Active
Other names
Premier Podiatry Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CRISTINA MARIA CORRALES-AGUILAR (OFFICE MANAGER)
(407) 813-2413
Entity
Organization
Contact information
Practice address
616 E ALTAMONTE DR., STE #205, ALTAMONTE SPRINGS, FL 32701-4810
(407) 813-2413
(407) 792-1019
Mailing address
616 E ALTAMONTE DR STE 205, ALTAMONTE SPRINGS, FL 32701-4810
(407) 813-2413
(407) 378-6017
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—
213EP0504X
Public Medicine Podiatrist
—
NULL
213EP0504X
Public Medicine Podiatrist
—
—
213EP1101X
Primary Podiatric Medicine Podiatrist
—
NULL
213EP1101X
Primary Podiatric Medicine Podiatrist
—
—
213ER0200X
Radiology Podiatrist
—
NULL
213ER0200X
Radiology Podiatrist
—
—
213ES0000X
Sports Medicine Podiatrist
—
NULL
213ES0000X
Sports Medicine Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
213ES0131X
Foot Surgery Podiatrist
—
NULL
213ES0131X
Foot Surgery Podiatrist
—
—
Other
Enumeration date
02/10/2025
Last updated
07/15/2025
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