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Organization

AMBERLY C PARADOA DPM PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMBERLY C PARADOA DPM (PRESIDENT)
(772) 299-7009
Entity
Organization

Contact information

Practice address
3735 11TH CIR, SUITE 201, VERO BEACH, FL 32960-4844
(772) 299-7009
(772) 562-7138
Mailing address
3735 11TH CIR, SUITE 201, VERO BEACH, FL 32960-4844
(772) 299-7009
(772) 562-7138

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3105
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
340483800
FL
01
6141470001
MEDICARE DME
FL
01
PO3105
LICENSE
FL
Enumeration date
04/01/2008
Last updated
10/14/2009
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