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General NPI Number Information
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NPI Number | 1396354478
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Entity Type | Organization
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Legal Business Name | SOUTH FLORIDA FOOT & ANKLE CENTER
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Dates
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Enumeration Date | 07/24/2020
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Last Update Date | 07/24/2020
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Provider Practice Location Address
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Address Line | 13550 S JOG RD STE 100
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City | DELRAY BEACH
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State | FL
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Zip | 33446-3808
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Country | US
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Telephone | 561-793-6170
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Fax | 561-795-3683
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Provider Business Mailing Address
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Address Line | 11412 OKEECHOBEE BLVD
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-8722
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Country | US
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Telephone | 561-793-6170
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JONATHAN M CUTLER
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Credential | DPM
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Telephone | 561-793-6170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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