Dunnellon Podiatry Center P A in Dunnellon - Podiatrist
Dunnellon Podiatry Center P A - NPI 1194742148
Dunnellon Podiatry Center P A is a Podiatrist in Dunnellon, Florida. Dunnellon Podiatry Center P A practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Dunnellon Podiatry Center P A is 1194742148. The last update date is 2007-12-12.
Dunnellon Podiatry Center P A's current location address is Po Box 2633, Dunnellon, Florida. You can contact this provider via phone number 3524896621 and fax number 3524896920. The mailing address for Dunnellon Podiatry Center P A is Po Box 2633, Dunnellon, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dunnellon Podiatry Center P A |
|---|---|
| Address | Po Box 2633, Dunnellon, Florida |
| Phone Number | 3524896621 |
| Fax Number | 3524896920 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER PODI |
|---|---|
| Authorized Official Name | Witfill Lynn Stacy |
| Credentials | DPM |
| Telephone Number | 3524896621 |
NPI Number Detail
| NPI Number | 1194742148 |
|---|---|
| Provider Enumeration Date | 2006-07-16 |
| Last Updated Date | 2007-12-12 |
Provider Mailing Address Detail
| Address | Po Box 2633 |
|---|---|
| City | Dunnellon |
| State | Florida (FL) |
| Post Code | 34430 |
| Phone Number | 3524896621 |
| Fax Number | 3524896920 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | P02759 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 65619 | FL | BCBS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Dunnellon Podiatry Center P A?
The Dunnellon Podiatry Center P A has been issued the NPI (National Provider Identifier) 1194742148 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Dunnellon Podiatry Center P A's facilities are geographically located?
The facilities of Dunnellon Podiatry Center P A are physically situated at the following location: Po Box 2633, Dunnellon, FL, 34430.
What is Dunnellon Podiatry Center P A's specialized field of practice, and what is the corresponding taxonomy classification code?
The Dunnellon Podiatry Center P A's area of specialization is Podiatrist, and the corresponding taxonomy code that categorizes this field of practice is 213E00000X.
On what date did the Dunnellon Podiatry Center P A receive its 1194742148 assignment from the Centers for Medicare & Medicaid Services?
The Dunnellon Podiatry Center P A was assigned its 1194742148 by the Centers for Medicare & Medicaid Services on 2006-07-16.
When was the information regarding Dunnellon Podiatry Center P A, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Dunnellon Podiatry Center P A, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-12-12.
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