Organization
SEACOAST FOOT AND ANKLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AL BERRY (CREDENTIALING MANAGER)
(386) 703-9084
Entity
Organization
Contact information
Practice address
587 US HIGHWAY 41 BYP N, VENICE, FL 34285-6040
(941) 837-3106
Mailing address
587 US HIGHWAY 41 BYP N, VENICE, FL 34285-6040
(941) 837-3106
(941) 837-3107
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
01/22/2024
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