Organization
CENTRAL FLORIDA FOOT CARE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS PRZYSTAWSKI D.P.M. (OWNER)
(352) 360-1360
Entity
Organization
Contact information
Practice address
305 CHILDS ST, LEESBURG, FL 34748
(352) 360-1360
(352) 360-0686
Mailing address
PO BOX 491334, LEESBURG, FL 34749-1334
(352) 360-1360
(352) 360-0686
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO 2004
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65384
BLUE CROSS/BLUE SHIELD
FL
Enumeration date
08/25/2006
Last updated
07/17/2008
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