Provider Demographics
NPI:1205230646
Name:LIMB PRESERVATION PLATFORM, INC.
Entity Type:Organization
Organization Name:LIMB PRESERVATION PLATFORM, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:CAZZELL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:805-252-9086
Mailing Address - Street 1:11301 N KNOTTING HILL DR
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93730-7006
Mailing Address - Country:US
Mailing Address - Phone:805-252-9086
Mailing Address - Fax:
Practice Address - Street 1:2550 MERCED ST
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93721-1812
Practice Address - Country:US
Practice Address - Phone:800-714-8011
Practice Address - Fax:800-496-3077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-14
Last Update Date:2014-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty