Jaffray Podiatry Center Pl LLC

NPI #1962607416 in Lutz, Florida

Provider Information

NPI Number: 1962607416
Entity Type: Organization
Organization Name: Jaffray Podiatry Center Pl LLC
Primary Specialty: Podiatrist
Enumeration Date: Jun 15, 2007
Last Updated: Sep 29, 2010

Practice Location

Address: 18940 DALE MABRY HWY N
Address 2: SUITE 101
City: Lutz
State: Florida
ZIP Code: 33548-4906
Phone: (813) 949-7555

Authorized Official

Name: DR. KEVIN A JAFFRAY, DPM
Title: OWNER
Phone: (813) 949-7555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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