Organization
CERTIFIED FOOT & ANKLE SPECIALISTS
Active
Parent organization
CERTIFIED FOOT & ANKLE SPECIALISTS
Other names
Multi-Specialty Physician Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
CERTIFIED FOOT & ANKLE SPECIALISTS
Authorized official
KYLE J KINMON MD (PRESIDENT)
(561) 995-0229
Entity
Organization
Contact information
Practice address
10446 TAFT ST, PEMBROKE PINES, FL 33026-2819
(954) 431-6050
(954) 431-5003
Mailing address
1601 CLINT MOORE RD STE 180, BOCA RATON, FL 33487-5713
(561) 995-0229
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
10/01/2020
Last updated
10/09/2024
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