Daytona Foot & Ankle Specialists Pa
LBN: Daytona Foot & Ankle Specialists Pa
Daytona Foot & Ankle Specialists Pa is an health care organization with primary practice located at 311 N Clyde Morris Blvd Suite 300, Daytona Beach FL 32114-2756. 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.
Daytona Foot & Ankle Specialists Pa can be contacted via phone (386) 252-9656, or through Goldenberg, Eric Mark via phone (386) 252-9656.
Contact Information
Primary practice address
311 N Clyde Morris Blvd Suite 300
Daytona Beach FL 32114-2756
Phone: (386) 252-9656
Fax: (386) 252-4649
Website:
Authorized official contact:
Name: Goldenberg, Eric Mark Doctor of Podiatric Medicine (DPM)
Phone: (386) 252-9656
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | PO2530 | Florida |
Profile Details
| NPI number | 1356521140 |
|---|---|
| LBN Legal business name | Daytona Foot & Ankle Specialists Pa |
| DBA Doing business as | |
| Authorized official | Goldenberg, Eric Mark Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 8th, 2007 |
| Last updated | Sep 24th, 2010 - about 15 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 | 1356521140 | NPPES |
| Florida | MEDICAID | 340118900 | |
| Florida | Other | 65673 |
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