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PEAK ATHLETIX LLC NPI 1114479649


NPI Information

NPI: 1114479649
Provider Name: PEAK ATHLETIX LLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
955 TOWN CENTER DR STE 200
ORANGE CITY, FL
ZIP 32763
Phone: (386) 218-4016
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PEAK ATHLETIX LLC is a podiatrist in Orange City, 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. PEAK ATHLETIX LLC NPI is 1114479649. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

955 TOWN CENTER DR STE 200
ORANGE CITY, FL
ZIP 32763
Phone: (386) 218-4016
Fax: (386) 218-4107

The provider's authorized official is Jose Arnaldo Rivera .
The authorized official title is Medical Director and has the following contact phone number (954) 243-1272.

The enumeration date for this NPI number is 11/1/2016 and was last updated on 6/7/2018.


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
1213E00000XPodiatristPO3038FLORIDAYes

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: 11/14/2023

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