Organization
NORTH FLORIDA FOOT AND ANKLE ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY WHYATT DPM (OWNER)
(352) 331-7543
Entity
Organization
Contact information
Practice address
6717 N.W. 11TH PLACE, SUITE D, GAINESVILLE, FL 32605
(352) 331-7543
(352) 331-7756
Mailing address
6717 N.W. 11TH PLACE, SUITE D, GAINESVILLE, FL 32605
(352) 331-7543
(352) 331-7756
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
PO1605
FL
213E00000X
Podiatrist
Primary
PO2753
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390448200
—
FL
01
—
65590
BCBS
FL
Enumeration date
11/05/2007
Last updated
12/29/2010
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