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General NPI Number Information
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NPI Number | 1780638361
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Entity Type | Organization
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Legal Business Name | THE FOOT & ANKLE INSTITUTE OF SOUTH FLORIDA, INC
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 7001 SW 61ST AVE
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-3420
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Country | US
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Telephone | 305-662-1444
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Fax | 305-667-6086
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Provider Business Mailing Address
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Address Line | 7001 SW 61ST AVE
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-3420
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Country | US
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Telephone | 305-662-1444
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Fax | 305-667-6086
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Authorized Official
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Title or Position | PRESIDENT
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Name | MANUEL RODRIGUEZ
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Credential | DPM
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Telephone | 305-662-1444
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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 | PO1940
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License Number State | FL
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