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Organization

ABSOLUCHAS LLC

Active
Other names
Island Podiatry Associates
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD D KOENIG DPM (OWNER)
(321) 452-5133
Entity
Organization

Contact information

Practice address
280 N SYKES CREEK PKWY STE B, MERRITT ISLAND, FL 32953-3491
(321) 452-5133
(321) 452-5747
Mailing address
PO BOX 541637, MERRITT ISLAND, FL 32954-1637
(321) 452-5133
(321) 452-5747

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO2725
FL

Other

Enumeration date
09/03/2009
Last updated
04/20/2011
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