Organization
SOUTH MIAMI FOOT HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH KASHUK DPM (PRESIDENT)
(305) 667-5683
Entity
Organization
Contact information
Practice address
6350 SUNSET DR, 2ND FLOOR, SOUTH MIAMI, FL 33143-4836
(305) 667-5683
Mailing address
6350 SUNSET DR, 2ND FLOOR, SOUTH MIAMI, FL 33143-4836
(305) 667-5683
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87215
MEDICARE GROUP
FL
Enumeration date
07/25/2007
Last updated
07/25/2007
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