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General NPI Number Information
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NPI Number | 1316853831
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Entity Type | Organization
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Legal Business Name | BOCA RATON FOOT & ANKLE SPECIALISTS PLLC
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Dates
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Enumeration Date | 08/24/2026
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Last Update Date | 08/24/2026
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Provider Practice Location Address
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Address Line | 16244 S MILITARY TRL STE 460
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City | DELRAY BEACH
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State | FL
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Zip | 33484-6532
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Country | US
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Telephone | 561-654-1137
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Fax |
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Provider Business Mailing Address
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Address Line | 12486 DOGLEG DR
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-4122
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Country | US
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Telephone | 561-654-1137
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANDREW IMMLER
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Credential | DPM
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Telephone | 561-654-1137
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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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