| Deland Foot And Leg Center, Llc | |
|
844 N Stone St Ste 208, Deland, FL 32720-3208 | |
| (386) 738-3733 | |
| Not Available |
| Full Name | Deland Foot And Leg Center, Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 844 N Stone St Ste 208, Deland, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154516185 | NPI | - | NPPES |
| 340518400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | PO3160 (Florida) | Primary |
| Provider Name | Jenneffer D Pulapaka |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1619979457 PECOS PAC ID: 9335100536 Enrollment ID: I20041021000256 |
| Mailing Address | Practice Location Address |
|---|---|
| Deland Foot And Leg Center, Llc 844 N Stone St Ste 208, Deland, FL 32720-3208 Ph: (386) 738-3733 | Deland Foot And Leg Center, Llc 844 N Stone St Ste 208, Deland, FL 32720-3208 Ph: (386) 738-3733 |
Mark S. Davids, Dpm Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 850 N Stone St, Deland, FL 32720 Phone: 386-736-7636 | |
Ankle And Foot Sports Medicine Institute Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 843 N Woodland Blvd Ste 2, Deland, FL 32720 Phone: 386-279-0540 Fax: 386-279-0571 | |
Orlando Foot & Ankle Clinic Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 400 E Howry Ave, Deland, FL 32724 Phone: 407-423-1234 | |
Dr. Jenneffer Pulapaka, DPM Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 844 N Stone St Ste 208, Deland, FL 32720 Phone: 386-738-3733 Fax: 386-738-3733 | |
Sona Ramdath Jr., DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 843 N Woodland Blvd Ste 2, Deland, FL 32720 Phone: 386-279-0540 Fax: 386-279-0571 |