Organization
SENIOR FOOT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAHA ALDEAN ATWAY DPM (OWNER)
(239) 297-2876
Entity
Organization
Contact information
Practice address
12903 N HOWARD AVE, TAMPA, FL 33612
(239) 297-2876
Mailing address
12903 N HOWARD AVE, TAMPA, FL 33612
(239) 297-2876
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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