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Organization

PODIATRY ASSOCIATES OF LAUDERDALE PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBORAH A COHEN DPM (PRESIDENT)
(954) 202-9788
Entity
Organization

Contact information

Practice address
4800 NE 20TH TERR. SUITE 107, FT LAUDERDALE, FL 33308-4510
(954) 202-9788
(954) 491-2891
Mailing address
4800 NE 20TH TER, SUITE 107, FT LAUDERDALE, FL 33308-4510
(954) 202-9788
(954) 491-2891

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO 0002042
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
390117300
FL
Enumeration date
02/12/2007
Last updated
09/10/2010
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