Organization
FOOT & ANKLE ASSOCIATES OF WEST FLORIDA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES M MILLER DPM (OWNER)
(352) 596-8348
Entity
Organization
Contact information
Practice address
11373 CORTEZ BLVD STE 305, BROOKSVILLE, FL 34613-5411
(352) 596-8348
(352) 596-7051
Mailing address
11373 CORTEZ BLVD STE 305, BROOKSVILLE, FL 34613-5411
(352) 596-8348
(352) 596-7051
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO 0001603
FL
Other
Enumeration date
09/21/2007
Last updated
08/09/2010
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