# PODAMERICA LLC

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

## Provider details

- **NPI number:** 1861906265
- **Authorized official:** DARYL GERSHBEIN DPM (MANAGER)
- **Authorized official phone:** (305) 305-6097

## Contact information

- **Practice address:** 2641 NE 209TH ST, AVENTURA, FL 33180-1117
- **Practice address phone:** (305) 305-6097
- **Mailing address:** 2641 NE 209TH ST, AVENTURA, FL 33180-1117

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 11/21/2017
- **Last updated:** 11/21/2017