Organization
SOUTHERNMOST FOOT AND ANKLE SPECIALISTS PA
Active
Other names
SOUTHERNMOST PODIATRY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICARDO MARCOS (PRACTICE ADMINISTRATOR)
(305) 235-9550
Entity
Organization
Contact information
Practice address
381 N KROME AVE STE 112, HOMESTEAD, FL 33030-6047
(305) 246-4774
(305) 248-4086
Mailing address
381 N KROME AVE STE 112, HOMESTEAD, FL 33030-6047
(305) 246-4774
(305) 248-4086
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270007700
—
FL
05
—
340211800
—
FL
05
—
340494300
—
FL
05
—
390384200
—
FL
05
—
390443100
—
FL
05
—
390458000
—
FL
Enumeration date
07/01/2006
Last updated
05/16/2023
Update your record
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