Organization
ORLANDO FOOT AND ANKLE CLINIC INC
Active
Other names
Orlando Foot And Ankle Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY JOSEPH RENTON (CEO)
(407) 219-5400
Entity
Organization
Contact information
Practice address
2014 S ORANGE AVE, STE 100, ORLANDO, FL 32806
(407) 649-1234
(407) 422-6476
Mailing address
P O BOX 140233, ORLANDO, FL 32814-0233
(407) 423-1234
(407) 517-1040
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
FL
291U00000X
Clinical Medical Laboratory
800028517
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029602300
—
FL
01
—
DB3528
RAIL ROAD MEDICARE
FL
Enumeration date
06/27/2006
Last updated
08/05/2020
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