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General NPI Number Information
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NPI Number | 1265000855
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Entity Type | Organization
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Legal Business Name | CHOICE PODIATRY OF FLORIDA LLC
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Dates
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Enumeration Date | 06/11/2021
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Last Update Date | 06/11/2021
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Provider Practice Location Address
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Address Line | 581 LAVERS CIR APT 184
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City | DELRAY BEACH
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State | FL
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Zip | 33444-7983
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Country | US
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Telephone | 305-494-8075
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Fax |
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Provider Business Mailing Address
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Address Line | 581 LAVERS CIR APT 184
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City | DELRAY BEACH
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State | FL
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Zip | 33444-7983
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Country | US
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Telephone | 305-494-8075
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Fax |
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. NATALIA CARDONA
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Credential | DPM
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Telephone | 305-494-8075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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