Individual
DR. IBN A IMANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1628 N PLAZA DR, TALLAHASSEE, FL 32308-2300
(850) 402-9042
Mailing address
216 W COLLEGE AVE, #871, TALLAHASSEE, FL 32301-7737
(850) 402-9042
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
PO2415
FL
Other
Enumeration date
02/23/2011
Last updated
01/07/2013
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