# FLAMINGO FOOT AND ANKLE PA

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

## Provider details

- **NPI number:** 1760193825
- **Authorized official:** DR. STEPHANIE TINE DPM (FOUNDER AND CEO)
- **Authorized official phone:** (754) 206-4753

## Contact information

- **Practice address:** 4801 N FEDERAL HWY STE 101, FORT LAUDERDALE, FL 33308-4618
- **Practice address phone:** (954) 594-2610
- **Mailing address:** 3051 NE 41ST ST, FORT LAUDERDALE, FL 33308-5801
- **Mailing address phone:** (954) 594-2610

## Taxonomy

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

## Other

- **Enumeration date:** 12/09/2022
- **Last updated:** 12/19/2023