Organization
PALM TREE PODIATRY PLLC
Active
Parent organization
PALM TREE PODIATRY PLLC
Other names
Palm Tree Podiatry
Organization subpart
Yes
Provider details
NPI number
Legal business name
PALM TREE PODIATRY PLLC
Authorized official
DR. ERIC WILLIAM FREILER DPM (OWNER)
(386) 777-7311
Entity
Organization
Contact information
Practice address
800 BELLE TERRE PKWY STE 112, PALM COAST, FL 32164-2315
(386) 777-7311
(386) 777-7312
Mailing address
800 BELLE TERRE PKWY STE 112, PALM COAST, FL 32164-2315
(386) 777-7311
(386) 777-7312
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117482200
—
FL
Enumeration date
11/07/2023
Last updated
11/07/2023
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