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NPI Code Detail

MEDICARE: UPPERLINE HEALTHCARE, PC

MEDICARE: UPPERLINE HEALTHCARE, PC
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 Podiatrist

General Provider Information

NPI Number : 1881204238
Entity Type Code : Organization
Provider Name (Legal Business Name) : UPPERLINE HEALTHCARE, PC
Provider Business Mailing Address
First Line : 102 WOODMONT BLVD STE 450
Second Line :
City : NASHVILLE
State : TN
Zip : 37205-5202
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1307 S INTERNATIONAL PKWY STE 1061
Second Line :
City : LAKE MARY
State : FL
Zip : 32746-1412
Country : US
Telephone Number : 407-339-7759
Fax Number : 407-830-0024
Authorized Official
Title or Position : PRESIDENT
Name : DAVID VANDIVER THORPE
Credential :
Telephone Number : 205-807-3009
Provider Enumeration Date : 07/31/2020
Last Update Date : 02/02/2021

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Directions to “UPPERLINE HEALTHCARE, PC ” Practice Location

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