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Organization
NORTH FLORIDA FOOT AND ANKLE ASSOCIATES PC
Active
Organization
NORTH FLORIDA FOOT AND ANKLE ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY WHYATT DPM (OWNER)
(352) 331-7543
Entity
Organization
Contact information
Practice address
6717 N.W. 11TH PLACE, SUITE D, GAINESVILLE, FL 32605
(352) 331-7543
(352) 331-7756
Mailing address
6717 N.W. 11TH PLACE, SUITE D, GAINESVILLE, FL 32605
(352) 331-7543
(352) 331-7756
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
PO1605
FL
213E00000X
Podiatrist
Primary
PO2753
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390448200
—
FL
01
—
65590
BCBS
FL
Enumeration date
11/05/2007
Last updated
12/29/2010
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