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General NPI Number Information
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NPI Number | 1346018389
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Entity Type | Organization
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Legal Business Name | CENTRAL FLORIDA FOOT AND ANKLE INSTITUTE, LLC
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Dates
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Enumeration Date | 12/19/2023
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 100 WAYMONT CT STE 110
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City | LAKE MARY
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State | FL
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Zip | 32746-3412
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Country | US
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Telephone | 321-356-4861
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Fax |
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Provider Business Mailing Address
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Address Line | 100 WAYMONT CT STE 110
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City | LAKE MARY
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State | FL
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Zip | 32746-3412
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Country | US
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Telephone | 407-307-0006
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Fax | 407-743-0091
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Authorized Official
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Title or Position | PHYSICIAN REP
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Name | YANUZKA ESQUERDO
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Credential |
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Telephone | 407-307-0006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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