Organization
ORLANDO FOOT AND ANKLE CLINIC INC
Active
Other names
Orlando Foot & Ankle Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY RENTON (CEO)
(407) 423-1234
Entity
Organization
Contact information
Practice address
1381 CITRUS TOWER BLVD, STE 103, CLERMONT, FL 34711
(352) 243-7066
(352) 243-7008
Mailing address
P O BOX 140233, ORLANDO, FL 32814-0233
(407) 423-1234
(407) 517-1040
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029602300
—
FL
01
—
DB3528
R/R MEDICARE
FL
Enumeration date
08/29/2006
Last updated
08/18/2020
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