NPI 1013449263
Certified Foot & Ankle Specialists
Practice location
- Address
- 4750 N Federal Hwy STE 200, Fort Lauderdale, FL 33308-4609
- Phone
- (954) 561-3338
- Fax
- (954) 566-3051
- Mailing address
- 1601 Clint Moore Rd Suite 130, Boca Raton, FL 33487-2768
Authorised official
- Name
- Kyle Kinmon
- Title
- Owner
- Phone
- (561) 425-2929
Registered specialties (2)
Non-Pharmacy Dispensing Site
Primary
Foot & Ankle Surgery Podiatrist
Registry record
- NPI
- 1013449263
- Entity type
- Organization
- NPI issued
- 28 Mar 2017
- Record last updated
- 9 Oct 2024
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.