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PALM TREE PODIATRY PLLC NPI 1699407130


NPI Information

NPI: 1699407130
Provider Name: PALM TREE PODIATRY PLLC

Doing Business As: PALM TREE PODIATRY

Classification: Clinic/Center - 261QP1100X
Entity Type: Organization

Specialization: Podiatric

Address:
800 BELLE TERRE PKWY STE 112
PALM COAST, FL
ZIP 32164
Phone: (386) 777-7311
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PALM TREE PODIATRY PLLC is a podiatric clinic center in Palm Coast, FL. PALM TREE PODIATRY PLLC NPI is 1699407130. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Palm Tree Podiatry.

The provider's business location address is:

800 BELLE TERRE PKWY STE 112
PALM COAST, FL
ZIP 32164-315
Phone: (386) 777-7311
Fax: (386) 777-7312

The provider's authorized official is Eric W Freiler .
The authorized official title is Owner and has the following contact phone number (631) 838-8057.

The enumeration date for this NPI number is 6/24/2022 and was last updated on 11/8/2023.


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
1213E00000XPodiatristNo
2213EP1101XPodiatristPrimary Podiatric MedicineNo
3335E00000XProsthetic/Orthotic SupplierNo
4261QP1100XClinic/CenterPodiatricYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.