ONE STOP FOOT AND ANKLE CARE LLC NPI 1083479752

NPI Information

  • NPI: 1083479752
  • Provider Name: ONE STOP FOOT AND ANKLE CARE LLC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • CLIA Number: 10D2323665
  • Address: 1880 N CONGRESS AVE STE 309
    BOYNTON BEACH, FL
    ZIP 33426
  • Phone: (561) 778-2100

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NPI Details

ONE STOP FOOT AND ANKLE CARE LLC is a foot and ankle surgery podiatrist in Boynton Beach, FL. ONE STOP FOOT AND ANKLE CARE LLC NPI is 1083479752. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1880 N CONGRESS AVE STE 309
BOYNTON BEACH, FL
ZIP 33426-675
Phone: (561) 778-2100
Fax: (561) 778-2118

The provider's authorized official is Mikhail Burakovskiy .
The authorized official title is Ceo and has the following contact phone number (561) 778-2100.

The CLIA number assigned to this NPI record is 10D2323665 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/20/2024 and was last updated on 2/20/2024.

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
1213ES0103XPodiatristFoot & 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: 11/21/2025

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