# PODIATRY ASSOCIATES OF MIAMI GARDENS, LLC

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

## Provider details

- **NPI number:** 1740525955
- **Authorized official:** DR. CLIFDFOR G OCONNOR D.P.M (PHYSICIAN/PRESIDENT)
- **Authorized official phone:** (305) 770-4151

## Contact information

- **Practice address:** 18350 NW 2ND AVE, MIAMI GARDENS, FL 33169-4519
- **Practice address phone:** (305) 770-4151
- **Practice address fax:** (305) 770-4151
- **Mailing address:** 18350 NW 2ND AVE, MIAMI GARDENS, FL 33169-4519
- **Mailing address phone:** (305) 770-4151
- **Mailing address fax:** (305) 770-4151

## Taxonomy

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

## Other

- **Enumeration date:** 11/29/2012
- **Last updated:** 11/29/2012