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Organization

CENTER FOR ANKLE & FOOT CARE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TIM JAMES HENNE DPM (DOCTOR)
(352) 242-2502
Entity
Organization

Contact information

Practice address
3190 CITRUS TOWER BLVD STE A, CLERMONT, FL 34711
(352) 242-2502
(352) 242-0316
Mailing address
3190 CITRUS TOWER BLVD STE A, CLERMONT, FL 34711-6886
(352) 242-2502
(352) 242-0316

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
4690780001
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4690780001
DME
FL
Enumeration date
02/22/2007
Last updated
06/19/2018
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