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Organization
SOUTH FLORIDA LOWER EXTREMITY INSTITUTE LLC
Active
Organization
SOUTH FLORIDA LOWER EXTREMITY INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CASON M. QUINN DPM (CHIEF EXECUTIVE OFFICER)
(561) 320-1248
Entity
Organization
Contact information
Practice address
5602 PGA BLVD STE 101, PALM BEACH GARDENS, FL 33418-3829
(561) 627-6444
Mailing address
5602 PGA BLVD STE 101, PALM BEACH GARDENS, FL 33418-3829
(561) 627-6444
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
06/04/2022
Last updated
06/22/2022
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