Organization
INSTITUTE FOR FOOT AND ANKLE SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAOBI OGUCHI (AUTHORIZED OFFICIAL)
(386) 774-2200
Entity
Organization
Contact information
Practice address
955 TOWN CENTER DR STE 100, ORANGE CITY, FL 32763-8255
(386) 774-2200
(386) 774-2202
Mailing address
955 TOWN CENTER DR STE 100, ORANGE CITY, FL 32763-8255
(386) 774-2200
(867) 742-2202
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3038
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340410200
—
FL
01
—
65870
BCBS
FL
Enumeration date
11/01/2006
Last updated
05/15/2023
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