Organization
DR IBN IMANI, DPM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IBN A IMANI D.P.M. (C.E.O.)
(850) 402-9042
Entity
Organization
Contact information
Practice address
1628 N PLAZA DR, TALLAHASSEE, FL 32308-2300
(850) 402-9042
Mailing address
216 W COLLEGE AVE, #871, TALLAHASSEE, FL 32301-7737
(850) 402-9042
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
PO2415
FL
Other
Enumeration date
04/12/2011
Last updated
01/07/2013
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