Individual
SMITA MALHOTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1100 SAWGRASS VILLAGE DR, STE 100, PONTE VEDRA BEACH, FL 32082-5048
(904) 285-9355
(904) 285-7442
Mailing address
PO BOX 551380, JACKSONVILLE, FL 32255-1380
(904) 285-9355
(904) 285-7442
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO3096
FL
213ES0131X
Foot Surgery Podiatrist
PO3096
FL
Other
Enumeration date
10/13/2005
Last updated
11/16/2015
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