Organization
YHN 1, LLC
Active
Other names
Mount Dora Podiatry & Wound Care Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM DERRICK (OWNER)
(407) 463-2654
Entity
Organization
Contact information
Practice address
3651 LAKE CENTER DR, MOUNT DORA, FL 32757-2364
(352) 385-9156
(352) 385-9159
Mailing address
3651 LAKE CENTER DR, MOUNT DORA, FL 32757-2364
(352) 385-9156
(352) 385-9159
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
05/02/2023
Last updated
11/07/2023
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