# PREMIER PODIATRY ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Premier Podiatry Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700691672
- **Authorized official:** MRS. CRISTINA MARIA CORRALES-AGUILAR (OFFICE MANAGER)
- **Authorized official phone:** (407) 813-2413

## Contact information

- **Practice address:** 616 E ALTAMONTE DR., STE \#205, ALTAMONTE SPRINGS, FL 32701-4810
- **Practice address phone:** (407) 813-2413
- **Practice address fax:** (407) 792-1019
- **Mailing address:** 616 E ALTAMONTE DR STE 205, ALTAMONTE SPRINGS, FL 32701-4810
- **Mailing address phone:** (407) 813-2413
- **Mailing address fax:** (407) 378-6017

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |
| 213ES0131X | Foot Surgery Podiatrist | — | NULL | — |
| 213ES0131X | Foot Surgery Podiatrist | — | — | — |

## Other

- **Enumeration date:** 02/10/2025
- **Last updated:** 07/15/2025