Lake Foot Clinic INC

NPI #1306015748 in Eustis, Florida

Provider Information

NPI Number: 1306015748
Entity Type: Organization
Organization Name: Lake Foot Clinic INC
Primary Specialty: Podiatrist
Enumeration Date: Feb 29, 2008
Last Updated: Nov 12, 2008

Practice Location

Address: 629 S GROVE ST
City: Eustis
State: Florida
ZIP Code: 32726
Phone: (352) 589-1335

Authorized Official

Name: DR. JAMES T ROTELLA, DPM
Title: PRESIDENT OWNER OF LAKE FOOT CLINIC
Phone: (352) 589-1335

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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