LAKE FOOT CLINIC INC NPI 1306015748

NPI Information

  • NPI: 1306015748
  • Provider Name: LAKE FOOT CLINIC INC
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Address: 629 S GROVE ST
    EUSTIS, FL
    ZIP 32726
  • Phone: (352) 589-1335

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NPI Details

LAKE FOOT CLINIC INC is a podiatrist in Eustis, 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. LAKE FOOT CLINIC INC NPI is 1306015748. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

629 S GROVE ST
EUSTIS, FL
ZIP 32726
Phone: (352) 589-1335
Fax: (352) 589-1336

The provider's authorized official is James T Rotella .
The authorized official title is President Owner Of Lake Foot Clinic and has the following contact phone number (352) 589-1335.

The enumeration date for this NPI number is 2/29/2008 and was last updated on 11/12/2008.

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
1213E00000XPodiatristPO1193FLORIDAYes

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
1K8096OTHERFLORIDAMEDICARE GROUP NUMBER
25678940001MEDICARE NSCFLORIDA

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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