Organization
FOOT AND ANKLE PHYSICIANS P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY GOODMAN D.P.M. (OWNER PODIATRIST)
(727) 796-0565
Entity
Organization
Contact information
Practice address
2350 SUNSET POINT RD STE A, CLEARWATER, FL 33765-1443
(727) 796-0565
(727) 796-7464
Mailing address
2350 SUNSET POINT RD STE A, CLEARWATER, FL 33765-1443
(727) 796-0565
(727) 796-7464
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO1435
FL
Other
Enumeration date
12/14/2006
Last updated
03/21/2008
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