Peace River Ankle & Foot, Pl

NPI #1023329331 in Port Charlotte, Florida

Provider Information

NPI Number
1023329331
Entity Type
Organization
Organization Name
Peace River Ankle & Foot, Pl
Primary Specialty
Podiatrist - Foot & Ankle Surgery
Enumeration Date
Jul 1, 2010
Last Updated
Mar 3, 2011

Practice Location

Address
3440 CONWAY BLVD
Address 2
1D
State
Florida
ZIP Code
33952-7000
Phone
(941) 624-3668

Authorized Official

Name
DR. HOLLY K WADDELL, DPM
Title
OWNER/PODIATRIST
Phone
(941) 624-3668

Specialties & Taxonomy Codes

Specialty
Podiatrist - Foot & Ankle SurgeryFoot & Ankle Surgery

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