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Organization

PALM TREE LOWER EXTREMITY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ABIOLA J. OKI DPM (OWNER)
(973) 973-5926
Entity
Organization

Contact information

Practice address
250 CARILLON PKWY UNIT 509, SAINT PETERSBURG, FL 33716-1402
(973) 986-5926
Mailing address
250 CARILLON PKWY UNIT 509, SAINT PETERSBURG, FL 33716-1402
(973) 986-5926

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
213ES0000X
Sports Medicine Podiatrist
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary

Other

Enumeration date
02/28/2018
Last updated
06/23/2022
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