| |
941 Se 1st St, Ste B, Belle Glade, FL 33430-4353 | |
(561) 993-3668 | |
(561) 747-6752 |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 941 Se 1st St, Belle Glade, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811900392 | NPI | - | NPPES |
390417200 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
1605 S Us Highway 1, Searise 201d, Jupiter, FL 33477-8436 Ph: (561) 289-5950 | 941 Se 1st St, Ste B, Belle Glade, FL 33430-4353 Ph: (561) 993-3668 |