Florida Foot & Ankle Group Pa

LBN: Florida Foot & Ankle Group Pa
Florida Foot & Ankle Group Pa is an health care organization with primary practice located at 925 Williston Park Pt Suite 1009, Lake Mary FL 32746-2114. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Suppliers / Customized Equipment. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is the primary health care specialty. Florida Foot & Ankle Group Pa can be contacted via phone (407) 323-2566, or through Roth, Walter E via phone (407) 323-2566.

Contact Information

Primary practice address
925 Williston Park Pt Suite 1009 Lake Mary FL 32746-2114
Phone: (407) 323-2566
Fax: (407) 324-3577
Website:
Map and Directions
Authorized official contact:
Name: Roth, Walter E Doctor of Podiatric Medicine (DPM)
Phone: (407) 323-2566

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1942227541
LBN Legal business name Florida Foot & Ankle Group Pa
DBA Doing business as
Authorized official Roth, Walter E Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2006
Last updated Apr 6th, 2024 - about 5 months 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 1942227541 NPPES
Florida MEDICAID 390171800

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