Provider Demographics
NPI:1750723227
Name:FAMILY FOOT AND ANKLE SOLUTIONS INC
Entity type:Organization
Organization Name:FAMILY FOOT AND ANKLE SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:F
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:IV
Authorized Official - Credentials:DPM
Authorized Official - Phone:727-785-8338
Mailing Address - Street 1:34921 US HIGHWAY 19 N STE 400
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-1970
Mailing Address - Country:US
Mailing Address - Phone:727-785-8338
Mailing Address - Fax:
Practice Address - Street 1:34921 US HIGHWAY 19 N STE 400
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-1970
Practice Address - Country:US
Practice Address - Phone:727-785-8338
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO3050213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty