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NPI Code Detail

MEDICARE: SAINT LUCIE FOOT & ANKLE CENTRE, INC

MEDICARE: SAINT LUCIE FOOT & ANKLE CENTRE, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0103XFoot & Ankle Surgery PodiatristPO3910FL

General Provider Information

NPI Number : 1053849349
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAINT LUCIE FOOT & ANKLE CENTRE, INC
Provider Business Mailing Address
First Line : 1696 SE HILLMOOR DR STE A
Second Line :
City : PORT SAINT LUCIE
State : FL
Zip : 34952-7699
Country : US
Telephone Number : 772-800-5811
Fax Number :
Provider Business Practice Location Address
First Line : 1696 SE HILLMOOR DR STE A
Second Line :
City : PORT SAINT LUCIE
State : FL
Zip : 34952-7699
Country : US
Telephone Number : 772-800-5811
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : DR. MICHAEL DOSS
Credential : DPM
Telephone Number : 772-800-5811
Provider Enumeration Date : 05/31/2017
Last Update Date : 07/21/2022

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Directions to “SAINT LUCIE FOOT & ANKLE CENTRE, INC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.