# FOOTSEAS MEDICAL INC

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

## Provider details

- **NPI number:** 1902177967
- **Authorized official:** DR. SHERRELL R WILKERSON D.P.M. (CEO)
- **Authorized official phone:** (850) 267-4554

## Contact information

- **Practice address:** 2441 US HIGHWAY 98 W, 102, SANTA ROSA BEACH, FL 32459-5385
- **Practice address phone:** (850) 267-4554
- **Practice address fax:** (850) 267-4539
- **Mailing address:** 2441 US HIGHWAY 98 W, 102, SANTA ROSA BEACH, FL 32459-5385
- **Mailing address phone:** (850) 267-4554
- **Mailing address fax:** (850) 267-4539

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO1645 | FL | Yes |

## Other

- **Enumeration date:** 01/23/2012
- **Last updated:** 01/23/2012