Organization
COMPREHENSIVE FOOT AND ANKLE CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE TJAMALOUKAS D.P.M. (PRESIDENT)
(727) 410-4988
Entity
Organization
Contact information
Practice address
2716 STONEWOOD PARK LOOP, LAND O LAKES, FL 34638-6213
(813) 909-0865
Mailing address
2716 STONEWOOD PARK LOOP, LAND O LAKES, FL 34638-6213
(813) 909-0865
(813) 949-9532
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3177
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO112
RAILROAD MEDICARE
FL
Enumeration date
04/14/2008
Last updated
09/03/2020
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