Organization
BEVERLY HILLS FOOT AND ANKLE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NISHA BALA KRISHNAN D.P.M. (PRESIDENT)
(352) 513-4867
Entity
Organization
Contact information
Practice address
3404 N LECANTO HWY, SUITE A, BEVERLY HILLS, FL 34465-3569
(352) 513-4867
(888) 314-9873
Mailing address
3404 N LECANTO HWY STE A, BEVERLY HILLS, FL 34465-3569
(352) 513-4867
(888) 314-9873
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
PO3609
FL
Other
Enumeration date
06/23/2014
Last updated
05/03/2024
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