Advanced Agility Foot & Ankle, Llc
LBN: Advanced Agility Foot & Ankle, Llc
Advanced Agility Foot & Ankle, Llc is an health care organization with primary practice located at 1151 Miranda Ln , Kissimmee FL 34741-0763. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty.
Advanced Agility Foot & Ankle, Llc can be contacted via phone (405) 227-8453, or through Martincevic, Matthew via phone (405) 227-8453.
Contact Information
Primary practice address
1151 Miranda Ln
Kissimmee FL 34741-0763
Phone: (405) 227-8453
Fax: (407) 483-4139
Website:
Authorized official contact:
Name: Martincevic, Matthew Doctor of Podiatric Medicine (DPM)
Phone: (405) 227-8453
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | PO3871 | Florida |
Profile Details
| NPI number | 1346731742 |
|---|---|
| LBN Legal business name | Advanced Agility Foot & Ankle, Llc |
| DBA Doing business as | |
| Authorized official | Martincevic, Matthew Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 22nd, 2018 |
| Last updated | May 22nd, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346731742 | NPPES |
| Florida | Other | 5T5J9 | FLORIDA BLUE |
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