Organization
ADVANCED FOOT & ANKLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROMA PATEL DPM (PODIATRIST/OWNER)
(407) 671-8010
Entity
Organization
Contact information
Practice address
178 WILSHIRE BLVD, CASSLEBERRY, FL 32707
(407) 671-8010
(407) 671-4155
Mailing address
178 WILSHIRE BLVD, CASSLEBERRY, FL 32707
(407) 671-8010
(407) 671-4155
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041060800
—
FL
Enumeration date
04/23/2010
Last updated
06/07/2018
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