Organization
ABSOLUTE PODIATRY CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS VICTORIA ELIZABETH GOITZ D.P.M. (PRESIDENT)
(407) 568-9020
Entity
Organization
Contact information
Practice address
15228 E COLONIAL DR, ORLANDO, FL 32826-5134
(407) 568-9020
Mailing address
PO BOX 677970, ORLANDO, FL 32867-7970
(407) 568-9020
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2625
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K4840
MEDICARE GROUP IDENTIFICA
FL
Enumeration date
10/23/2007
Last updated
10/23/2007
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