Organization
SURGICAL FOOT SPECIALITIES P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERYCK ROMEO FERNANDEZ DPM (PRESIDENT)
(954) 346-5077
Entity
Organization
Contact information
Practice address
8190 ROYAL PALM BLVD STE 203, CORAL SPRINGS, FL 33065-5706
(954) 346-5077
Mailing address
8190 ROYAL PALM BLVD STE 203, CORAL SPRINGS, FL 33065-5706
(954) 346-5077
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3674
FL
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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