Organization
GUARDIAN ANGEL FOOT CARE OF BRADENTON VENICE AND ENGLEWOOD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERBERT T LANE DPM (PRESIDENT)
(941) 473-3338
Entity
Organization
Contact information
Practice address
2400 S MCCALL RD STE F, ENGLEWOOD, FL 34224-5136
(941) 473-3338
Mailing address
2400 S MCCALL RD STE F, ENGLEWOOD, FL 34224-5136
(941) 473-3338
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Enumeration date
11/20/2007
Last updated
04/22/2008
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