Organization
DELAND FOOT AND LEG CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNEFFER SCHNELLER PULAPAKA DPM (OWNER/ MANAGER)
(386) 738-3733
Entity
Organization
Contact information
Practice address
844 N STONE ST STE 208, DELAND, FL 32720-3208
(386) 738-3733
Mailing address
844 N STONE ST STE 208, DELAND, FL 32720-3208
(386) 738-3733
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3160
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340518400
—
FL
Enumeration date
09/12/2007
Last updated
03/08/2018
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