Organization
CENTRAL FLORIDA PODIATRY ASSOCIATES IPA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL MCMANUS (EXECUTIVE DIRECTOR)
(407) 816-5031
Entity
Organization
Contact information
Practice address
1003 E WALLACE ST, ORLANDO, FL 32809-5172
(407) 816-5031
Mailing address
1003 E WALLACE ST, ORLANDO, FL 32809-5172
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
07/02/2009
Last updated
02/10/2010
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