Organization
AFFILIATED FOOT & ANKLE PROVIDERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY S SHAMA DPM (PRESIDENT)
(813) 985-1665
Entity
Organization
Contact information
Practice address
232 BULLARD PKWY, TEMPLE TERRACE, FL 33617-5512
(813) 985-1665
(813) 985-3045
Mailing address
232 BULLARD PKWY, TEMPLE TERRACE, FL 33617-5512
(813) 985-1665
(813) 985-3045
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45842
IPA AGREEMENT
FL
Enumeration date
07/17/2019
Last updated
07/17/2019
Update your record
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