Organization
PREMIUM ANKLE AND FOOT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARJORY S JONES (OWNER)
(240) 674-9962
Entity
Organization
Contact information
Practice address
12900 CORTEZ BLVD STE 102, BROOKSVILLE, FL 34613-6897
(352) 683-5722
Mailing address
12900 CORTEZ BLVD STE 102, BROOKSVILLE, FL 34613-6897
(352) 683-5722
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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