Lower Extremity Care, L.l.c. | |
330 Sw 27th Ave Ste 403, Miami, FL 33135-2967 | |
(305) 517-3771 | |
(305) 517-3455 |
Full Name | Lower Extremity Care, L.l.c. |
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Type | Facility |
Speciality | Podiatrist |
Location | 330 Sw 27th Ave Ste 403, Miami, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184925521 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | PO3451 (Florida) | Primary |
Provider Name | Edward Gonzalez |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1912217936 PECOS PAC ID: 7416139217 Enrollment ID: I20110318000116 |
Mailing Address | Practice Location Address |
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Lower Extremity Care, L.l.c. Po Box 430764, South Miami, FL 33243-0764 Ph: (305) 301-0005 | Lower Extremity Care, L.l.c. 330 Sw 27th Ave Ste 403, Miami, FL 33135-2967 Ph: (305) 517-3771 |
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