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Organization

FLORIDA FOOT & ANKLE ASSOCIATES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD L SEDA (PRESIDENT)
(305) 538-2226
Entity
Organization

Contact information

Practice address
900 NW 13TH ST STE 106, BOCA RATON, FL 33486-2350
(561) 826-7032
(561) 826-8591
Mailing address
8200 NW 27TH ST STE 108, DORAL, FL 33122-1902
(786) 662-3893
(786) 662-3899

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
024850000
FL
01
14022279
CAQH NUMBER
FL
01
31IB9
FLORIDA BLUE NUMBER
FL
Enumeration date
03/25/2019
Last updated
06/22/2023
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