ADVANCED PODIATRY PA NPI 1457510398

NPI Information

NPI: 1457510398
Provider Name: ADVANCED PODIATRY, PA
Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
17222 HOSPITAL BLVD
SUITE 218
BROOKSVILLE, FL
ZIP 34601
Phone: (352) 796-7800
Get Directions

ADVANCED PODIATRY, PA is a foot surgery podiatrist in Brooksville, FL. ADVANCED PODIATRY, PA NPI is 1457510398. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17222 HOSPITAL BLVD
SUITE 218
BROOKSVILLE, FL
ZIP 34601-925
Phone: (352) 796-7800
Fax: (352) 796-1203

The provider's authorized official is Todd James Brennan .
The authorized official title is President and has the following contact phone number (813) 971-4678.

The enumeration date for this NPI number is 6/5/2008 and was last updated on 9/30/2020.

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	213ES0131X	Podiatrist	Foot Surgery	PO2520	FLORIDA	No
2	213ES0131X	Podiatrist	Foot Surgery			Yes

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
1	1982756706	OTHER	FLORIDA	ORGANIZATION FOR OTHER LOCATION
2	M2469	OTHER	FLORIDA	MEDICARE GROUP PTAN
3	M2475	OTHER	FLORIDA	MEDICARE GROUP PTAN
4	1982756706	OTHER	FLORIDA	GROUP NPI

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

NPI Synchronization or Removal

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