Organization
ELITE STRIDE FOOT AND ANKLE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LADY PAULA DEJESUS DPM (OWNER/PRESIDENT)
(561) 626-3338
Entity
Organization
Contact information
Practice address
12300 ALT A1A STE 118, PALM BEACH GARDENS, FL 33410-2211
(561) 626-3338
Mailing address
11714 62ND LN N, WEST PALM BEACH, FL 33412-1835
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
Other
Enumeration date
03/31/2018
Last updated
11/15/2018
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