Lake Wales Foot And Ankle Care, Inc | |
408 S 1st St, Highland Meadows, Lake Wales, FL 33853-4146 | |
(863) 676-1710 | |
Not Available |
Full Name | Lake Wales Foot And Ankle Care, Inc |
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Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 408 S 1st St, Lake Wales, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1770930919 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
Provider Name | Prerna Mall |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1043652290 PECOS PAC ID: 6507153731 Enrollment ID: I20161003000235 |
Provider Name | Marlon Osbourne |
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Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1295092583 PECOS PAC ID: 1658753322 Enrollment ID: I20220728001352 |
Mailing Address | Practice Location Address |
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Lake Wales Foot And Ankle Care, Inc 801 Woodlark Dr, Highland Meadows, Haines City, FL 33844-7745 Ph: (863) 676-1710 | Lake Wales Foot And Ankle Care, Inc 408 S 1st St, Highland Meadows, Lake Wales, FL 33853-4146 Ph: (863) 676-1710 |
Prerna Alfa Mall, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 408 S 1st St, Lake Wales, FL 33853 Phone: 863-676-1710 | |
Podiatry Center Pa Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 408 S 1st St, Lake Wales, FL 33853 Phone: 863-676-1710 Fax: 863-676-0025 |