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Organization
ONE FOOT FORWARD PODIATRY PC
Active
Organization
ONE FOOT FORWARD PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLINA HENRIQUEZ (OFFICE MANAGER)
(267) 635-7092
Entity
Organization
Contact information
Practice address
9501 STATE RD, PHILADELPHIA, PA 19114-3053
(646) 921-0907
(315) 612-9793
Mailing address
20980 CIPRES WAY, BOCA RATON, FL 33433-1604
(267) 635-7092
(315) 612-9793
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SC007233
PENNSYLVANIA
PA
Enumeration date
04/18/2022
Last updated
03/27/2024
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