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ADVANCED FOOT & ANKLE LLC NPI 1053772921


NPI Information

NPI: 1053772921
Provider Name: ADVANCED FOOT & ANKLE, LLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
178 WILSHIRE BLVD
CASSELBERRY, FL
ZIP 32707
Phone: (407) 671-8010
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ADVANCED FOOT & ANKLE, LLC is a podiatrist in Casselberry, FL. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. ADVANCED FOOT & ANKLE, LLC NPI is 1053772921. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

178 WILSHIRE BLVD
CASSELBERRY, FL
ZIP 32707-352
Phone: (407) 671-8010
Fax: (407) 671-4155

The provider's authorized official is Roma Patel .
The authorized official title is Owner/practitioner and has the following contact phone number (630) 863-4757.

The enumeration date for this NPI number is 3/18/2016 and was last updated on 4/25/2018.


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
1213E00000XPodiatristPO3710FLORIDAYes

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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