Organization
POLIZZI ADVANCE FOOT CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS POLIZZI DPM (PRESIDENT)
(863) 422-2356
Entity
Organization
Contact information
Practice address
208 MAIN ST, AUBURNDALE, FL 33823-3404
(863) 422-2356
(863) 421-0087
Mailing address
208 MAIN ST, AUBURNDALE, FL 33823-3404
(863) 422-2356
(863) 421-0087
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74868
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/14/2006
Last updated
12/21/2011
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