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INTEGRATIVE FOOT AND ANKLE LLC NPI 1194116343


NPI Information

NPI: 1194116343
Provider Name: INTEGRATIVE FOOT AND ANKLE LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

CLIA Number: 10D2168542

Address:
100 CENTURY BLVD
WEST PALM BEACH, FL
ZIP 33417
Phone: (561) 293-3439
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INTEGRATIVE FOOT AND ANKLE LLC is a foot and ankle surgery podiatrist in West Palm Beach, FL. INTEGRATIVE FOOT AND ANKLE LLC NPI is 1194116343. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

100 CENTURY BLVD
WEST PALM BEACH, FL
ZIP 33417-262
Phone: (561) 293-3439
Fax: (561) 689-1844

The provider's authorized official is Daniel J Pero .
The authorized official title is Podiatrist and has the following contact phone number (561) 293-3439.

The CLIA number assigned to this NPI record is 10D2168542 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/10/2015 and was last updated on 2/10/2015.


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
1213ES0103XPodiatristFoot & Ankle SurgeryFD1702FLORIDANo
2213ES0103XPodiatristFoot & Ankle SurgeryPO3394FLORIDAYes

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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