FARAGALLA FOOT CARE LLC NPI 1750822565

NPI Information

  • NPI: 1750822565
  • Provider Name: FARAGALLA FOOT CARE LLC
  • Classification: Podiatrist - 213ES0131X
  • Specialization: Foot Surgery
  • Entity Type: Organization
  • Address: 2105 MANATEE AVE E
    BRADENTON, FL
    ZIP 34208
  • Phone: (551) 655-4146

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NPI Details

FARAGALLA FOOT CARE LLC is a foot surgery podiatrist in Bradenton, FL. FARAGALLA FOOT CARE LLC NPI is 1750822565. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2105 MANATEE AVE E
BRADENTON, FL
ZIP 34208-640
Phone: (551) 655-4146

The provider's authorized official is Wassem Faragalla .
The authorized official title is Dpm and has the following contact phone number (551) 655-4146.

The enumeration date for this NPI number is 3/13/2017 and was last updated on 3/20/2018.

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
1213ES0131XPodiatristFoot SurgeryPO3803FLORIDAYes

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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