Organization
MIAMI PODIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA B BURKE (MCC)
(786) 227-0062
Entity
Organization
Contact information
Practice address
3959 S NOVA RD, BUILDING B SUITE 25, PORT ORANGE, FL 32127-9278
(786) 277-8612
(386) 236-9006
Mailing address
3959 S NOVA RD, BUILDING B SUITE 25, PORT ORANGE, FL 32127-9278
(786) 277-8612
(386) 236-9006
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
10/22/2010
Last updated
06/06/2011
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