# SOUTH FLORIDA FOOT & ANKLE LLC

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

## Provider details

- **NPI number:** 1750135166
- **Authorized official:** DR. GIANNI PERSICH DPM (CEO)
- **Authorized official phone:** (561) 676-3611

## Contact information

- **Practice address:** 11020 RCA CENTER DR STE 2004, PALM BEACH GARDENS, FL 33410-4277
- **Practice address phone:** (561) 676-3611
- **Mailing address:** 7491 N FEDERAL HWY STE C-5137, BOCA RATON, FL 33487-1625
- **Mailing address phone:** (561) 676-3611

## Taxonomy

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

## Other

- **Enumeration date:** 04/12/2024
- **Last updated:** 04/12/2024