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Organization

PODIATRY CENTER PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID IRA METZENDORF DPM (PRES)
(863) 293-1968
Entity
Organization

Contact information

Practice address
408 S 1ST ST, LAKE WALES, FL 33853-4146
(863) 676-1710
(863) 676-0025
Mailing address
408 S 1ST ST, LAKE WALES, FL 33853-4146
(863) 676-1710
(863) 676-0025

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary

Other

Enumeration date
01/31/2008
Last updated
04/20/2008
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