NPI 1003431131

Innovative Durable Medical, LLC

Organisation Foot & Ankle Surgery Podiatrist North Miami Beach, FL

Practice location

Address: 16400 NE 19th Ave, North Miami Beach, FL 33162-4115
Phone: (305) 864-1373
Fax: (305) 868-3124

Authorised official

Name: Dmitry Sandler
Title: Owner
Phone: (305) 864-1373

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X

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Registry record

NPI: 1003431131
Entity type: Organization
NPI issued: 15 Jun 2020
Record last updated: 14 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.