Organization
PRIMARY FOOT CARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMARA DAWN FISHMAN DPM (OWNER)
(305) 948-8497
Entity
Organization
Contact information
Practice address
1100 NE 163RD ST STE 101, NORTH MIAMI BEACH, FL 33162-4515
(305) 948-8497
Mailing address
1100 NE 163RD ST STE 101, NORTH MIAMI BEACH, FL 33162-4515
(305) 948-8497
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
PO2352
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390144100
—
FL
Enumeration date
05/30/2007
Last updated
05/14/2008
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