PODOCARE CLINICAL SPECIALIST PROFESSIONAL LLC NPI 1962098434

NPI Information

NPI: 1962098434
Provider Name: PODOCARE CLINICAL SPECIALIST PROFESSIONAL LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
2000 NW 87TH AVE STE 217
DORAL, FL
ZIP 33172
Phone: (305) 396-8731
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PODOCARE CLINICAL SPECIALIST PROFESSIONAL LLC is a foot and ankle surgery podiatrist in Doral, FL. PODOCARE CLINICAL SPECIALIST PROFESSIONAL LLC NPI is 1962098434. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2000 NW 87TH AVE STE 217
DORAL, FL
ZIP 33172-657
Phone: (305) 396-8731
Fax: (305) 396-8732

The provider's authorized official is Gregorio Caban .
The authorized official title is President Admin and has the following contact phone number (305) 396-8731.

The enumeration date for this NPI number is 12/17/2020 and was last updated on 12/17/2020.

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	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	Yes
2	261QH0100X	Clinic/Center	Health Service	No
3	261QP2000X	Clinic/Center	Physical Therapy	No

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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