Organization
ORLANDO FOOT & ANKLE CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY J RENTON (CEO)
(407) 423-1234
Entity
Organization
Contact information
Practice address
3670 MAGUIRE BLVD, STE 220, ORLANDO, FL 32803-3012
(407) 423-1234
(407) 517-1040
Mailing address
P O BOX 140233, ORLANDO, FL 32814-0233
(407) 423-1234
(407) 517-1040
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB3528
RAIL ROAD MEDICARE
FL
Enumeration date
01/22/2008
Last updated
02/06/2008
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