Organization
ODRO, FAZEKAS & WERD PA
Active
Other names
Foot and Ankle Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD A FAZEKAS DPM (PRESIDENT)
(863) 687-3404
Entity
Organization
Contact information
Practice address
2939 S FLORIDA AVE, LAKELAND, FL 33803-4046
(863) 687-3404
(863) 687-4672
Mailing address
2939 S FLORIDA AVE, LAKELAND, FL 33803-4046
(863) 687-3404
(863) 687-4672
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO0000788
FL
213E00000X
Podiatrist
PO0001370
FL
213E00000X
Podiatrist
PO000248
FL
Other
Enumeration date
01/03/2008
Last updated
10/10/2013
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