PODIATRY HEALTH SERVICES LLC NPI 1700441342

NPI Information

NPI: 1700441342
Provider Name: PODIATRY HEALTH SERVICES LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1846 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL
ZIP 34952
Phone: (772) 301-1951
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PODIATRY HEALTH SERVICES LLC is a foot and ankle surgery podiatrist in Port St Lucie, FL. PODIATRY HEALTH SERVICES LLC NPI is 1700441342. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1846 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL
ZIP 34952-545
Phone: (772) 301-1951
Fax: (772) 934-7297

The provider's authorized official is Kristopher P Jerry .
The authorized official title is PODIATRIC SURGEONSurgeon and has the following contact phone number (772) 301-1951.

The enumeration date for this NPI number is 5/9/2019 and was last updated on 9/19/2022.

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	213E00000X	Podiatrist				No
2	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: 5/5/2024

NPI Synchronization or Removal

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