MAGNOLIA FOOT CARE LLC NPI 1952943193

NPI Information

NPI: 1952943193
Provider Name: MAGNOLIA FOOT CARE, LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
235 CITRUS TOWER BLVD STE 103
CLERMONT, FL
ZIP 34711
Phone: (407) 578-9922
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MAGNOLIA FOOT CARE, LLC is a foot and ankle surgery podiatrist in Clermont, FL. MAGNOLIA FOOT CARE, LLC NPI is 1952943193. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

235 CITRUS TOWER BLVD STE 103
CLERMONT, FL
ZIP 34711-711
Phone: (407) 578-9922
Fax: (352) 432-5829

The provider's authorized official is Tyler C. Floyd .
The authorized official title is Owner/podiatrist and has the following contact phone number (407) 578-9922.

The enumeration date for this NPI number is 10/9/2019 and was last updated on 5/27/2020.

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	213ES0103X	Podiatrist	Foot & Ankle Surgery			Yes

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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