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CHARLOTTE COUNTY FOOT CLINICS LLC NPI 1073059507


NPI Information

NPI: 1073059507
Provider Name: CHARLOTTE COUNTY FOOT CLINICS LLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
2866 TAMIAMI TRL
STE C
PORT CHARLOTTE, FL
ZIP 33952
Phone: (941) 629-3535
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CHARLOTTE COUNTY FOOT CLINICS LLC is a podiatrist in Port Charlotte, FL. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. CHARLOTTE COUNTY FOOT CLINICS LLC NPI is 1073059507. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2866 TAMIAMI TRL
STE C
PORT CHARLOTTE, FL
ZIP 33952-126
Phone: (941) 629-3535
Fax: (941) 625-2076

The provider's authorized official is Mike A Bush .
The authorized official title is Manager and has the following contact phone number (954) 479-0481.

The enumeration date for this NPI number is 1/8/2017 and was last updated on 1/8/2017.


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
1213E00000XPodiatristPO3373FLORIDAYes

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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