| Live Oak Foot & Ankle | |
|
17820 Se 109th Ave, Ste 102, Summerfield, FL 34491 | |
| (352) 347-3338 | |
| (352) 347-3389 |
| Full Name | Live Oak Foot & Ankle |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 17820 Se 109th Ave, Summerfield, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932282167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
| Provider Name | Uyen K Dao |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1093725772 PECOS PAC ID: 9436225083 Enrollment ID: I20080904000413 |
| Provider Name | Steven Corey Effren |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1669555892 PECOS PAC ID: 0244426518 Enrollment ID: I20101129000604 |
| Mailing Address | Practice Location Address |
|---|---|
| Live Oak Foot & Ankle 17820 Se 109th Ave, Ste 102, Summerfield, FL 34491 Ph: (352) 347-3338 | Live Oak Foot & Ankle 17820 Se 109th Ave, Ste 102, Summerfield, FL 34491 Ph: (352) 347-3338 |
Dr. Uyen K. Dao, D.P.M Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 17820 Se 109th Ave Ste 102, Summerfield, FL 34491 Phone: 352-347-3338 Fax: 352-347-3389 | |
Richard M. Cowin, Dpm, Pa Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 10900 Se 174th Place Rd, Summerfield, FL 34491 Phone: 352-245-9562 Fax: 352-245-9563 | |
Steven Corey Effren, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 17820 Se 102 Ave #102, Summerfield, FL 34491 Phone: 352-347-3338 Fax: 352-347-3389 |