Lake Foot Clinic Inc

LBN: Lake Foot Clinic Inc
Lake Foot Clinic Inc is an health care organization with primary practice located at 629 S Grove St , Eustis FL 32726. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Lake Foot Clinic Inc can be contacted via phone (352) 589-1335, or through Rotella, James T via phone (352) 589-1335.

Contact Information

Primary practice address
629 S Grove St Eustis FL 32726
Phone: (352) 589-1335
Fax: (352) 589-1336
Website:
Map and Directions
Authorized official contact:
Name: Rotella, James T Doctor of Podiatric Medicine (DPM)
Phone: (352) 589-1335

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO1193 Florida

Profile Details

NPI number 1306015748
LBN Legal business name Lake Foot Clinic Inc
DBA Doing business as
Authorized official Rotella, James T Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 29th, 2008
Last updated Nov 12th, 2008 - about 17 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 1306015748 NPPES
Florida Other K8096 MEDICARE GROUP NUMBER

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