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Organization

ADVANCED INNOVATIONS PODIATRY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FORTON WIMBUSH (AUTHORIZED SIGNER)
(510) 914-1223
Entity
Organization

Contact information

Practice address
1700 WATERFORD DR, VERO BEACH, FL 32966-8043
(772) 275-4923
Mailing address
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary

Other

Enumeration date
03/26/2026
Last updated
03/26/2026
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