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PODIATRY GROUP LLC NPI 1760151088


NPI Information

NPI: 1760151088
Provider Name: PODIATRY GROUP LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
2400 SW 69TH AVENUE
SUITE 140
MIAMI, FL
ZIP 33155
Phone: (305) 450-1757
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PODIATRY GROUP LLC is a foot and ankle surgery podiatrist in Miami, FL. PODIATRY GROUP LLC NPI is 1760151088. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2400 SW 69TH AVENUE
SUITE 140
MIAMI, FL
ZIP 33155
Phone: (305) 450-1757
Fax: (305) 265-4844

The provider's authorized official is Bamidele O Olupona .
The authorized official title is Ceo and has the following contact phone number (202) 321-8812.

The enumeration date for this NPI number is 9/9/2021 and was last updated on 9/9/2021.


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
1213EP1101XPodiatristPrimary Podiatric MedicineNo
2213ES0131XPodiatristFoot SurgeryNo
3213ES0103XPodiatristFoot & Ankle SurgeryYes

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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