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LAKE PARK PODIATRY NPI 1952096950


NPI Information

NPI: 1952096950
Provider Name: LAKE PARK PODIATRY
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
701 PARK AVE
LAKE PARK, FL
ZIP 33403
Phone: (561) 294-6886
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LAKE PARK PODIATRY is a foot and ankle surgery podiatrist in Lake Park, FL. LAKE PARK PODIATRY NPI is 1952096950. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

701 PARK AVE
LAKE PARK, FL
ZIP 33403-503
Phone: (561) 294-6886
Fax: (561) 627-2199

The provider's authorized official is Henry Kay Stark .
The authorized official title is Podiatrist and has the following contact phone number (561) 284-6886.

The enumeration date for this NPI number is 4/6/2023 and was last updated on 4/6/2023.


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
1213ES0103XPodiatristFoot & Ankle SurgeryYes

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: 5/5/2024

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