IHN PODIATRY SERVICES PLLC NPI 1073231353

NPI Information

  • NPI: 1073231353
  • Provider Name: IHN PODIATRY SERVICES PLLC
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • :
  • Address: 5304 S FLORIDA AVE STE 406
    LAKELAND, FL
    ZIP 33813
  • Phone: (863) 738-6601

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NPI Details

IHN PODIATRY SERVICES PLLC is a podiatrist in Lakeland, 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. IHN PODIATRY SERVICES PLLC NPI is 1073231353. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

5304 S FLORIDA AVE STE 406
LAKELAND, FL
ZIP 33813-914
Phone: (863) 738-6601

The provider's authorized official is Gloried Ebsworth .
The authorized official title is Provider and has the following contact phone number (305) 781-9667.

The enumeration date for this NPI number is 8/22/2022 and was last updated on 2/7/2025.

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
1163WW0000XRegistered NurseWound CareNo
2213E00000XPodiatristYes
3213EP1101XPodiatristPrimary Podiatric MedicineNo
4213ES0103XPodiatristFoot & Ankle SurgeryNo

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 Other Provider Identifier Issuer
1116891200MEDICAIDFLORIDA

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: 3/30/2025

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