PREMIER PODIATRY ASSOCIATES LLC NPI 1700691672

NPI Information

NPI: 1700691672
Provider Name: PREMIER PODIATRY ASSOCIATES, LLC
Classification: Podiatrist - 213ES0103X
Specialization: Foot & Ankle Surgery
Entity Type: Organization
:
Address: 616 E ALTAMONTE DR.
STE #205
ALTAMONTE SPRINGS, FL
ZIP 32701
Phone: (407) 813-2413

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NPI Details

PREMIER PODIATRY ASSOCIATES, LLC is a foot and ankle surgery podiatrist in Altamonte Springs, FL. PREMIER PODIATRY ASSOCIATES, LLC NPI is 1700691672. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

616 E ALTAMONTE DR.
STE #205
ALTAMONTE SPRINGS, FL
ZIP 32701-810
Phone: (407) 813-2413
Fax: (407) 792-1019

The provider's authorized official is Cristina Maria Corrales-aguilar .
The authorized official title is Office Manager and has the following contact phone number (407) 813-2413.

The enumeration date for this NPI number is 2/10/2025 and was last updated on 7/15/2025.

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	Primary
1	213E00000X	Podiatrist		No
2	213EP0504X	Podiatrist	Public Medicine	No
3	213EP1101X	Podiatrist	Primary Podiatric Medicine	No
4	213ER0200X	Podiatrist	Radiology	No
5	213ES0000X	Podiatrist	Sports Medicine	No
6	213ES0131X	Podiatrist	Foot Surgery	No
7	213ES0103X	Podiatrist	Foot & Ankle 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	126433900	MEDICAID	FLORIDA

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: 11/21/2025

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