SMITA MALHOTRA DPM PA
Podiatry at Metron Dr, Jacksonville, FL

License number
Florida PO3096
Category
Podiatry
Type
Podiatrist
Owner
Name: SMITA MALHOTRA DPM
Title: OWNER
Phone: (904) 534-6830
Address
Address
4213 Metron Dr, Jacksonville, FL 32216
National Provider ID: 1356400642
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Smita Malhotra Dpm

Jacksonville, FL

Doing business as:
Smita Malhotra Dpm PA
Registration:
Jun 28, 2006
Addresses:
14444 Bch Blvd, Jacksonville, FL 32250
1650 San Pablo Rd S, Jacksonville, FL 32224
PO Box 551380, Jacksonville, FL 32255
14286 Bch Blvd, Jacksonville, FL 32250
State ID:
P06000087263
Business type:
Florida Profit Corporation
Dpm, Owner, Podiatrist, Principals:
Landry M. Constentino (Receptionist Secretary),Victoria Johnson (Office Manager),Smita Malhotra (Director),...
EIN:
20-5115040

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