Organization
ORLANDO FOOT & ANKLE CLINIC, INC
Active
Other names
Orlando Foot & Ankle Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY RENTON (CEO)
(407) 423-1234
Entity
Organization
Contact information
Practice address
160 ISLANDER CT, LONGWOOD, FL 32750
(407) 423-1234
Mailing address
3165 MCCRORY PL STE 174, ORLANDO, FL 32803-3727
(407) 423-1234
(407) 517-1040
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029602300
—
FL
Enumeration date
06/05/2015
Last updated
08/05/2020
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