# ELITE FOOT AND ANKLE LLC

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

## Provider details

- **NPI number:** 1801165618
- **Authorized official:** DR. TREVOR A DAVY DPM (OWNER)
- **Authorized official phone:** (614) 539-4964

## Contact information

- **Practice address:** 6024 HOOVER RD, SUITE F, GROVE CITY, OH 43123-8133
- **Practice address phone:** (614) 539-4964
- **Practice address fax:** (614) 539-4609
- **Mailing address:** 6024 HOOVER RD, SUITE F, GROVE CITY, OH 43123-8133
- **Mailing address phone:** (614) 539-4964
- **Mailing address fax:** (614) 539-4609

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 36-003396 | OH | Yes |

## Other

- **Enumeration date:** 12/22/2011
- **Last updated:** 06/18/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0058765 | — | OH |
