Healthcare Provider Details

I. General information

NPI: 1265654768
Provider Name (Legal Business Name): FLORIDA FOOT & ANKLE ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 06/21/2023
Certification Date: 06/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9570 SW 107TH AVE SUITE 103
MIAMI FL
33176-2788
US

IV. Provider business mailing address

8200 NW 27TH ST SUITE 108
DORAL FL
33122-1902
US

V. Phone/Fax

Practice location:
  • Phone: 305-271-1564
  • Fax: 305-271-5079
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: DR. RICHARD L SEDA
Title or Position: PRESIDENT
Credential: DPM
Phone: 305-353-8222