Individual
THEODORE JOSEPH PIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
4142 HANGING MOSS CT, JACKSONVILLE, FL 32257-7658
(904) 292-0665
(904) 292-0665
Mailing address
4142 HANGING MOSS CT, JACKSONVILLE, FL 32257-7658
(904) 292-0665
(904) 292-0665
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO3080
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P03080
FLORIDA LICENSE NUMBER
FL
Enumeration date
07/12/2006
Last updated
07/08/2007
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