Florida Podiatry Center Llc | |
11549 Nw 62nd Ter, Unit 435, Doral, FL 33178-2894 | |
(786) 348-1751 | |
(305) 639-8816 |
Full Name | Florida Podiatry Center Llc |
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Type | Facility |
Speciality | Podiatrist |
Location | 11549 Nw 62nd Ter, Doral, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780958397 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | PO3538 (Florida) | Primary |
Provider Name | Sophia K Masri |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1639308166 PECOS PAC ID: 4981863370 Enrollment ID: I20121012000374 |
Mailing Address | Practice Location Address |
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Florida Podiatry Center Llc 11549 Nw 62nd Ter, Unit 435, Doral, FL 33178-2894 Ph: (786) 348-1751 | Florida Podiatry Center Llc 11549 Nw 62nd Ter, Unit 435, Doral, FL 33178-2894 Ph: (786) 348-1751 |
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