Organization
FOUNDATIONS FOOT AND ANKLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM TRINQUE DPM (OWNER)
(352) 650-9573
Entity
Organization
Contact information
Practice address
22319 POWELL RD, BROOKSVILLE, FL 34602-5705
(352) 650-9573
(513) 858-7827
Mailing address
22319 POWELL RD, BROOKSVILLE, FL 34602-5705
(352) 650-9573
(513) 858-7827
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO3695
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018641900
—
FL
Enumeration date
03/23/2016
Last updated
03/02/2017
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