CENTRAL FLORIDA FOOT AND ANKLE NPI 1093809097

NPI Information

  • NPI: 1093809097
  • Provider Name: CENTRAL FLORIDA FOOT AND ANKLE
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Address: 101 6TH ST NW
    WINTER HAVEN, FL
    ZIP 33881
  • Phone: (863) 299-4551

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NPI Details

CENTRAL FLORIDA FOOT AND ANKLE is a foot and ankle surgery podiatrist in Winter Haven, FL. CENTRAL FLORIDA FOOT AND ANKLE NPI is 1093809097. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

101 6TH ST NW
WINTER HAVEN, FL
ZIP 33881-630
Phone: (863) 299-4551
Fax: (863) 299-2310

The provider's authorized official is Tatiana A Wellens-bruschayt .
The authorized official title is President and has the following contact phone number (863) 299-4551.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 3/7/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle SurgeryPO2804FLORIDANo
2213ES0103XPodiatristFoot & Ankle SurgeryPO3070FLORIDANo
3213ES0103XPodiatristFoot & Ankle SurgeryPO2760FLORIDAYes

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
14756410003MEDICARE NSCFLORIDA
2K2460MEDICARE ID-TYPE UNSPECIFIEDFLORIDAGROUP PROVIDER NUMBER

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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