Organization
CYPRESS PODIATRY ASSOCIATES P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES E KOON DPM (PRESIDENT)
(863) 293-1950
Entity
Organization
Contact information
Practice address
575 AVENUE K SE, WINTER HAVEN, FL 33880-4215
(863) 293-1950
(863) 293-1899
Mailing address
575 AVENUE K SE, WINTER HAVEN, FL 33880-4215
(863) 293-1950
(863) 293-1899
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1403321763
GROUP NPI
FL
Enumeration date
08/31/2006
Last updated
01/11/2011
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