CERTIFIED FOOT & ANKLE SPECIALISTS NPI 1699904169

NPI Information

CERTIFIED FOOT & ANKLE SPECIALISTS is a foot and ankle surgery podiatrist in Boca Raton, FL. CERTIFIED FOOT & ANKLE SPECIALISTS NPI is 1699904169. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Multi Specialty Physician Services.

The provider's business location address is:

1601 CLINT MOORE RD
130
BOCA RATON, FL
ZIP 33487-768
Phone: (561) 995-0229
Fax: (561) 989-0775

The provider's authorized official is Kyle J Kinmon .
The authorized official title is Owner and has the following contact phone number (561) 995-0229.

The CLIA number assigned to this NPI record is 10D2092005 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/6/2009 and was last updated on 4/14/2021.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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