Organization
PBC FOOT ANKLE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN SARDINA DPM (MANAGER)
(561) 329-2299
Entity
Organization
Contact information
Practice address
4362 NORTHLAKE BLVD STE 209, PALM BEACH GARDENS, FL 33410-6270
(561) 345-2299
(888) 830-1589
Mailing address
796 PATRICK DR, WEST PALM BEACH, FL 33406-4434
(561) 329-2299
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306099304
MEDICARE
FL
Enumeration date
09/11/2023
Last updated
09/11/2023
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