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Organization
ADVANCED FOOTCARE INC
Active
Organization
ADVANCED FOOTCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES A. MUTSCHLER DPM (PRESIDENT/PODIATRIST)
(786) 428-3668
Entity
Organization
Contact information
Practice address
18280 W DIXIE HWY, MIAMI, FL 33160-2001
(786) 428-3668
(305) 932-0923
Mailing address
18280 W DIXIE HWY, MIAMI, FL 33160-2001
(786) 428-3668
(305) 932-0923
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
213ES0000X
Sports Medicine Podiatrist
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34386
BCBS
FL
Enumeration date
11/02/2006
Last updated
07/22/2010
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