NPI 1962607416

Jaffray Podiatry Center Pl LLC

Organisation Podiatrist Lutz, FL

Practice location

Address: 18940 Dale Mabry Hwy N Suite 101, Lutz, FL 33548-4906
Phone: (813) 949-7555
Fax: (813) 949-7554
Mailing address: PO Box 340683, Tampa, FL 33694-0683

Authorised official

Name: Kevin a Jaffray
Title: Owner
Phone: (813) 949-7555

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence P02662 (FL)

Other Podiatrist providers in Florida →

Registry record

NPI: 1962607416
Entity type: Organization
NPI issued: 15 Jun 2007
Record last updated: 29 Sep 2010

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.