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General NPI Number Information
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NPI Number | 1679939623
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Entity Type | Organization
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Legal Business Name | FOOT AND ANKLE SPECIALISTS OF FLORIDA, LLC
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Dates
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Enumeration Date | 01/06/2016
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Last Update Date | 03/30/2024
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Provider Practice Location Address
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Address Line | 16244 S MILITARY TRL STE 220
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City | DELRAY BEACH
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State | FL
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Zip | 33484-6505
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Country | US
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Telephone | 561-806-0600
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Fax | 561-501-0099
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Provider Business Mailing Address
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Address Line | 8500 EAGLE RUN DR
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City | BOCA RATON
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State | FL
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Zip | 33434-5430
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Country | US
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Telephone | 561-806-0600
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Fax | 561-501-0099
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Authorized Official
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Title or Position | DOCTOR
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Name | DANIEL SELBST
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Credential | DPM
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Telephone | 561-806-0600
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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 | FL
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