Organization
LOWER EXTREMITY SURGICAL GROUP PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARINA BAESSO DPM (DPM/MANAGER)
(954) 907-2191
Entity
Organization
Contact information
Practice address
5103 SW 141ST AVE, MIRAMAR, FL 33027-5968
(954) 907-2191
Mailing address
5103 SW 141ST AVE, MIRAMAR, FL 33027-5968
(954) 907-2191
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3466
FL
Other
Enumeration date
07/01/2011
Last updated
02/13/2014
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