Organization
JPL FOOT AND ANKLE SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSY PIERRE-LOUIS DPM (OWNER)
(917) 482-1347
Entity
Organization
Contact information
Practice address
1300 3RD ST SW # 105, WINTER HAVEN, FL 33880-3913
(917) 482-1347
(866) 864-8671
Mailing address
1300 3RD ST SW # 105, WINTER HAVEN, FL 33880-3913
(866) 864-8671
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PO4099
STATE LICENSE
FL
Enumeration date
07/30/2021
Last updated
07/30/2021
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