Organization
HOLLYWOOD CORAL SPRINGS PODIATRY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID D CLENDENNING DPM (PRESIDENT)
(954) 753-6766
Entity
Organization
Contact information
Practice address
8116 WILES ROAD, CORAL SPRINGS, FL 33067
(954) 989-8850
(954) 989-3431
Mailing address
8116 WILES RD, CORAL SPRINGS, FL 33067
(954) 753-6766
(954) 753-4620
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5738410001
SUPPLIER NSC
FL
01
—
5738410002
SUPPLIER NSC
FL
Enumeration date
06/15/2006
Last updated
04/27/2010
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