| |
1285 36th St Ste 203, Vero Beach, FL 32960-6588 | |
(772) 567-0111 | |
(772) 257-6521 |
Full Name | |
---|---|
Type | Facility |
Speciality | Non-pharmacy Dispensing Site |
Location | 1285 36th St Ste 203, Vero Beach, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497406508 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Secondary |
332900000X | Non-pharmacy Dispensing Site | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Po Box 746232, Atlanta, GA 30374-6232 Ph: (754) 702-3359 | 1285 36th St Ste 203, Vero Beach, FL 32960-6588 Ph: (772) 567-0111 |