PODIATRY CENTER PA
Podiatry at 1 St, Winter Haven, FL

License number
Florida PO 0001385
Category
Podiatry
Type
Podiatrist
License number
Florida PO 0002193
Category
Podiatry
Type
Podiatrist
Owner
Name: DAVID IRA METZENDORF DPM
Title: PRESIDENT
Phone: (863) 293-1968
Address
Address
135 1St St SOUTH, Winter Haven, FL 33880
National Provider ID: 1477661395
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PODIATRY CENTER, PA

135 1 St S, Winter Haven, FL 33880

Industry:
Podiatrist's Office
Registration:
Aug 1, 1994
Phone:
(863) 293-1968 (Phone)
State ID:
P94000056857
Business type:
Florida Profit Corporation
President, Treasurer, Directors:
Christopher Englert (Secretary), 135 1 St S, Winter Haven, FL 33880 (Physical),David I. Dpm Metzendorf, 135 1 St S, Winter Haven, FL 33880 (Physical),David I Dpm Metzendorf (President, Treasurer, Director)
Agent:
David Metzendorf,135 1 St S, Winter Haven, FL 33880 (Physical)
EIN:
59-3258147

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