Organization
ORLANDO FOOT AND ANKLE CLINIC, INC
Active
Other names
Orlando Foot and Ankle Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY J RENTON (CEO)
(407) 423-1234
Entity
Organization
Contact information
Practice address
10417 MOSS PARK RD, ORLANDO, FL 32832
(407) 737-2751
(407) 781-5649
Mailing address
PO 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
05
—
029602300
—
FL
Enumeration date
04/18/2014
Last updated
08/05/2020
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