Organization
LAKE FOOT AND ANKLE PA
Active
Other names
Lakeside Foot and Ankle Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARSTEN S WEBER DPM (OWNER/PRESIDENT)
(352) 728-1252
Entity
Organization
Contact information
Practice address
1330 CITIZENS BLVD, SUITE 301, LEESBURG, FL 34748-3959
(352) 728-1252
(352) 728-0079
Mailing address
1330 CITIZENS BLVD, SUITE 301, LEESBURG, FL 34748-3959
(352) 728-1252
(352) 728-0079
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO 3114
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DG4530
RAILROAD MEDICARE GROUP
FL
01
—
P00436246
RAILROAD MEDICARE PTAN
FL
Enumeration date
10/12/2006
Last updated
10/13/2009
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