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General NPI Number Information
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NPI Number | 1790046290
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Entity Type | Organization
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Legal Business Name | BROWARD FOOT AND ANKLE SPECIALIST P A
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Dates
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Enumeration Date | 06/01/2012
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Last Update Date | 10/03/2019
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Provider Practice Location Address
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Address Line | 2205 BAY DR
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City | POMPANO BEACH
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State | FL
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Zip | 33062-2912
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Country | US
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Telephone | 917-582-4010
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Fax | 718-766-8606
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Provider Business Mailing Address
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Address Line | 2205 BAY DR
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City | POMPANO BEACH
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State | FL
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Zip | 33062-2912
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Country | US
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Telephone | 917-582-4010
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Fax | 718-766-8606
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EFROSINI FOTOPOULOS
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Credential | DPM
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Telephone | 917-582-4010
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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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