Summit Podiatry Center Pllc | |
15095 Dedeaux Road, Gulfport, MS 39503-3284 | |
(228) 832-6008 | |
(228) 832-6009 |
Full Name | Summit Podiatry Center Pllc |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 15095 Dedeaux Road, Gulfport, Mississippi |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407091168 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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Summit Podiatry Center Pllc 15095 Dedeaux Road, Gulfport, MS 39503-3284 Ph: (228) 832-6008 | Summit Podiatry Center Pllc 15095 Dedeaux Road, Gulfport, MS 39503-3284 Ph: (228) 832-6008 |
Edward Robert Cohen, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 12056 Mobile Ave, Gulfport, MS 39503 Phone: 228-832-4475 Fax: 228-832-1512 | |
Joann Orphanos, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 15095 Dedeaux Road, Gulfport, MS 39503 Phone: 228-243-1238 Fax: 228-206-0503 |