Organization
SOUTHERNMOST FOOT AND ANKLE SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY MAKIMAA DPM,FACFAS (PHYSICIAN)
(305) 246-4774
Entity
Organization
Contact information
Practice address
2855 OVERSEAS HWY, MARATHON, FL 33050-2239
(305) 242-6494
Mailing address
975 BAPTIST WAY, #101, HOMESTEAD, FL 33033-7600
(305) 246-4774
(305) 248-4086
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390458000
—
FL
Enumeration date
10/10/2007
Last updated
06/19/2015
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