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Organization

ADVANCED FOOTCARE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES A. MUTSCHLER DPM (PRESIDENT/PODIATRIST)
(786) 428-3668
Entity
Organization

Contact information

Practice address
18280 W DIXIE HWY, MIAMI, FL 33160-2001
(786) 428-3668
(305) 932-0923
Mailing address
18280 W DIXIE HWY, MIAMI, FL 33160-2001
(786) 428-3668
(305) 932-0923

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
213ES0000X
Sports Medicine Podiatrist
213ES0131X
Foot Surgery Podiatrist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
34386
BCBS
FL
Enumeration date
11/02/2006
Last updated
07/22/2010
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