SOUTHERNMOST FOOT AND ANKLE SPECIALISTS PA NPI 1134158264

NPI Information

NPI: 1134158264
Provider Name: SOUTHERNMOST FOOT AND ANKLE SPECIALISTS PA

Former Legal Business Name: SOUTHERNMOST PODIATRY

Classification: Podiatrist - 213EP1101X
Entity Type: Organization

Specialization: Primary Podiatric Medicine

Address:
381 N KROME AVE STE 112
HOMESTEAD, FL
ZIP 33030
Phone: (305) 246-4774
Get Directions

SOUTHERNMOST FOOT AND ANKLE SPECIALISTS PA is a primary podiatric medicine podiatrist in Homestead, FL. SOUTHERNMOST FOOT AND ANKLE SPECIALISTS PA NPI is 1134158264. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Southernmost Podiatry.

The provider's business location address is:

381 N KROME AVE STE 112
HOMESTEAD, FL
ZIP 33030-047
Phone: (305) 246-4774
Fax: (305) 248-4086

The provider's authorized official is Ricardo Marcos .
The authorized official title is Practice Administrator and has the following contact phone number (305) 235-9550.

The enumeration date for this NPI number is 7/1/2006 and was last updated on 5/16/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213EP1101X	Podiatrist	Primary Podiatric Medicine			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	270007700	MEDICAID	FLORIDA
2	390443100	MEDICAID	FLORIDA
3	340494300	MEDICAID	FLORIDA
4	390384200	MEDICAID	FLORIDA
5	390458000	MEDICAID	FLORIDA
6	340211800	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »