Organization
FLAMINGO FOOT AND ANKLE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE TINE DPM (FOUNDER AND CEO)
(754) 206-4753
Entity
Organization
Contact information
Practice address
4801 N FEDERAL HWY STE 101, FORT LAUDERDALE, FL 33308-4618
(954) 594-2610
Mailing address
3051 NE 41ST ST, FORT LAUDERDALE, FL 33308-5801
(954) 594-2610
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
12/09/2022
Last updated
12/19/2023
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