Individual
DOUGLAS M CHILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
202 N PARK AVE, SUITE 500, APOPKA, FL 32703
(407) 410-1234
(407) 410-0149
Mailing address
3165 MCCRORY PL, SUITE 174, ORLANDO, FL 32803-3771
(407) 423-1234
(407) 517-1040
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO 2841
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340198700
—
FL
01
—
P00126076
R/R MEDICARE
FL
Enumeration date
02/15/2006
Last updated
09/04/2018
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