Organization
CENTER FOR FOOT AND ANKLE DISORDERS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN CHRISTOPHER RELL DPM (PRESIDENT)
(941) 907-2676
Entity
Organization
Contact information
Practice address
8340 LAKEWOOD RANCH BLVD, SUITE 320, BRADENTON, FL 34202-5183
(941) 907-2676
(941) 907-2669
Mailing address
8340 LAKEWOOD RANCH BLVD, SUITE 320, BRADENTON, FL 34202-5183
(941) 907-2676
(941) 907-2669
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO2993
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340287800
—
FL
01
—
PO2993
FLORIDA LICENSE
FL
Enumeration date
12/28/2006
Last updated
05/01/2008
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