Organization
ALL FLORIDA PODIATRY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLEE MARIE COLALUCE (ADMINISTRATION)
(727) 384-1111
Entity
Organization
Contact information
Practice address
5101 BRITTANY DR S, ST PETERSBURG, FL 33715-1565
(727) 384-1111
(727) 384-1112
Mailing address
5760 10TH AVENUE NORTH, ST. PETERSBURG, FL 33710-6432
(727) 384-1111
(727) 384-1112
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
PO2815
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11010101
CITRUSCAID
FL
01
—
111877
AMERIGROUP
FL
01
—
163508
WELLCARE
FL
01
—
2700633
UNITED
—
01
—
65644
BLUE CROSS BLUE SHEILD
—
Enumeration date
08/30/2007
Last updated
04/20/2008
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