Jalal K Sidani Dpm

LBN: Active Foot Care, Inc.
Jalal K Sidani Dpm is an health care organization with primary practice located at 2563 Huntcliff Lane , Panama City FL 32405-4902. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Active Foot Care, Inc. can be contacted via phone (850) 769-1055, or through Sidani, Jalal K via phone (850) 769-1055.

Contact Information

Primary practice address
2563 Huntcliff Lane Panama City FL 32405-4902
Phone: (850) 769-1055
Fax: (850) 769-1434
Website:
Map and Directions
Authorized official contact:
Name: Sidani, Jalal K Doctor of Podiatric Medicine (DPM)
Phone: (850) 769-1055

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X P02326 Florida

Profile Details

NPI number 1861665770
LBN Legal business name Active Foot Care, Inc.
DBA Doing business as Jalal K Sidani Dpm
Authorized official Sidani, Jalal K Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 11th, 2008
Last updated Mar 7th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861665770 NPPES
Florida MEDICAID 390159900

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