PODIATRY NETWORK OF FLORIDA
Managed Care Organizations at De Leon St, Tampa, FL

License number
Florida PO1092
Category
Managed Care Organizations
Type
Exclusive Provider Organization
Owner
Name: DR. MARTIN PORT M.D.
Title: PRESIDENT
Phone: (877) 616-6116
Address
Address
2835 W De Leon St SUITE 101, Tampa, FL 33609
National Provider ID: 1336303353
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PODIATRY NETWORK OF FLORIDA at bizstanding.com

Podiatry Network Of Florida

1919 W Swann Ave, Tampa, FL 33606

Site:
podiatrynetworkofflorida.com
Phone:
(813) 250-0616 (Phone)
Business Manager:
Tasha Gross (Business Manager)
Categories:
Physicians & Surgeons

PODIATRY NETWORK OF FLORIDA, INC

Tampa, FL

Status:
Inactive
Industry:
Medical Doctor's Office
Inactive reason:
REINSTATEMENT
Registration:
May 2, 1994
Inactive since:
Dec 5, 2011
Addresses:
2835 W Deleon SUITE 101, Tampa, FL 33609 (Physical)
2835 W Deleon St, Tampa, FL 33609
2835 W De Leon St, Tampa, FL 33609
State ID:
N94000002257
Business type:
Florida Not For Profit Corporation
Presidents:
Kenneth Friedman (President), 2835 W Deleon St SUITE 101, Tampa, FL 33609 (Physical),Scott Labohn (Secretary), 2835 W Deleon St SUITE 101, Tampa, FL 33609 (Physical),Robert Creighton (Treasurer), 2835 W Deleon SUITE 101, Tampa, FL 33609 (Physical),...
EIN:
59-3244840

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