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COSMETIC FOOT ANKLE & LEG VEIN CENTER LLC NPI 1164621025


NPI Information

NPI: 1164621025
Provider Name: COSMETIC FOOT ANKLE & LEG VEIN CENTER LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
670 GLADES RD
320
BOCA RATON, FL
ZIP 33431
Phone: (561) 750-3033
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COSMETIC FOOT ANKLE & LEG VEIN CENTER LLC is a foot and ankle surgery podiatrist in Boca Raton, FL. COSMETIC FOOT ANKLE & LEG VEIN CENTER LLC NPI is 1164621025. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

670 GLADES RD
320
BOCA RATON, FL
ZIP 33431-464
Phone: (561) 750-3033
Fax: (561) 750-3443

The provider's authorized official is Jodi R Schoenhaus .
The authorized official title is Owner and has the following contact phone number (561) 750-3033.

The enumeration date for this NPI number is 7/12/2007 and was last updated on 7/21/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgeryPO3125FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15522850001MEDICARE NSCFLORIDA
2K9143MEDICARE PIN

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: 4/28/2024

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