Organization
BAY BREEZE FOOT & ANKLE SPECIALISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURICE WARREN AIKEN D.P.M. (PRESIDENT/OWNER)
(727) 734-5575
Entity
Organization
Contact information
Practice address
1022 MAIN ST, SUITE L, DUNEDIN, FL 34698-5238
(727) 734-5575
(727) 733-4147
Mailing address
1022 MAIN ST, SUITE L, DUNEDIN, FL 34698-5238
(727) 734-5575
(727) 733-4147
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3681
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IM364A
MEDICARE PTAN
FL
Enumeration date
11/10/2015
Last updated
03/18/2016
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