Podiatry Center Pa
LBN: Podiatry Center Pa
Podiatry Center Pa is an health care organization with primary practice located at 135 1St St South , Winter Haven FL 33880. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty.
Podiatry Center Pa can be contacted via phone (863) 293-1968, or through Metzendorf, David Ira via phone (863) 293-1968.
Contact Information
Primary practice address
135 1St St South
Winter Haven FL 33880
Phone: (863) 293-1968
Fax: (863) 293-7961
Website:
Authorized official contact:
Name: Metzendorf, David Ira Doctor of Podiatric Medicine (DPM)
Phone: (863) 293-1968
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | PO 0001385 | Florida |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | PO 0002193 | Florida |
Profile Details
| NPI number | 1477661395 |
|---|---|
| LBN Legal business name | Podiatry Center Pa |
| DBA Doing business as | |
| Authorized official | Metzendorf, David Ira Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Apr 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477661395 | NPPES |
| Florida | Other | 40418 | MEDICARE ID |
| Florida | Other | 1477661395 | MEDICARE ID |
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