Healthcare Provider Details

I. General information

NPI: 1861506479
Provider Name (Legal Business Name): FLORIDA FOOT & ANKLE ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2006
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date: 05/22/2009
Reactivation Date: 06/23/2009

III. Provider practice location address

1345 ALTON RD
MIAMI BEACH FL
33139-3811
US

IV. Provider business mailing address

1345 ALTON RD
MIAMI BEACH FL
33139-3811
US

V. Phone/Fax

Practice location:
  • Phone: 786-662-3893
  • Fax: 786-662-3899
Mailing address:
  • Phone: 786-662-3893
  • Fax: 786-662-3899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: RICHARD L SEDA
Title or Position: PODIATRIST
Credential: DPM
Phone: 786-662-3893