FOOT AND ANKLE SPORT CENTER LLC NPI 1427350511

NPI Information

NPI: 1427350511
Provider Name: FOOT AND ANKLE SPORT CENTER LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
17751 SW 2ND ST
PEMBROKE PINES, FL
ZIP 33029
Phone: (954) 450-0099
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FOOT AND ANKLE SPORT CENTER LLC is a foot and ankle surgery podiatrist in Pembroke Pines, FL. FOOT AND ANKLE SPORT CENTER LLC NPI is 1427350511. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17751 SW 2ND ST
PEMBROKE PINES, FL
ZIP 33029-924
Phone: (954) 450-0099
Fax: (866) 381-9207

The provider's authorized official is Augustine A. Bollo .
The authorized official title is Owner and has the following contact phone number (954) 450-0099.

The enumeration date for this NPI number is 11/23/2010 and was last updated on 9/16/2016.

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
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	PO2570	FLORIDA	Yes

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

NPI Synchronization or Removal

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