MEDICARE: CHOICE PODIATRY OF FLORIDA LLC

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
1	213ES0103X	Foot & Ankle Surgery Podiatrist

General Provider Information

NPI Number	:	1265000855
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHOICE PODIATRY OF FLORIDA LLC

Provider Business Mailing Address
First Line	:	581 LAVERS CIR APT 184
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33444-7983
Country	:	US
Telephone Number	:	305-494-8075
Fax Number	:

Provider Business Practice Location Address
First Line	:	581 LAVERS CIR APT 184
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33444-7983
Country	:	US
Telephone Number	:	305-494-8075
Fax Number	:

Authorized Official
Title or Position	:	PODIATRIST
Name	:	DR. NATALIA CARDONA
Credential	:	DPM
Telephone Number	:	305-494-8075

Provider Enumeration Date	:	06/11/2021
Last Update Date	:	06/11/2021

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