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Organization

PODIRA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IRAKLY PATARAIA DPM (OWNER)
(224) 616-1952
Entity
Organization

Contact information

Practice address
2500 E HALLANDALE BEACH BLVD STE 811, HALLANDALE BEACH, FL 33009-4841
(224) 616-1952
Mailing address
2625 10TH AVE SE, NAPLES, FL 34117-4598
(224) 616-1952

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary

Other

Enumeration date
11/25/2024
Last updated
11/25/2024
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