Organization
CENTER FOR ANKLE & FOOT CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY JAMES HENNE (VICE PRESIDENT)
(352) 242-2502
Entity
Organization
Contact information
Practice address
3190 CITRUS TOWER BLVD STE A, CLERMONT, FL 34711-6886
(352) 242-2502
(352) 242-0316
Mailing address
3190 CITRUS TOWER BLVD STE A, CLERMONT, FL 34711-6886
(352) 242-2502
(352) 242-0316
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3047
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA7690
RAILROAD MEDICARE
FL
Enumeration date
02/21/2007
Last updated
12/19/2025
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