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Organization
PODIATRY PLUS, LLC
Active
Organization
PODIATRY PLUS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY CANNON (OWNER)
(407) 459-1181
Entity
Organization
Contact information
Practice address
110 POND CT, SUITE 102, DEBARY, FL 32713-2709
(386) 736-7636
(386) 742-1515
Mailing address
2106 N ORANGE AVE, SUITE 100, ORLANDO, FL 32804-5535
(407) 459-1181
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
02/04/2016
Last updated
02/04/2016
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