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Organization
FLAMINGO FOOT AND ANKLE PA
Active
Organization
FLAMINGO FOOT AND ANKLE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE TINE DPM (FOUNDER AND CEO)
(754) 206-4753
Entity
Organization
Contact information
Practice address
4801 N FEDERAL HWY STE 101, FORT LAUDERDALE, FL 33308-4618
(954) 594-2610
Mailing address
3051 NE 41ST ST, FORT LAUDERDALE, FL 33308-5801
(954) 594-2610
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
12/09/2022
Last updated
12/19/2023
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