Podiatry Center Pa in Winter Haven - Podiatrist
Podiatry Center Pa - NPI 1477661395
Podiatry Center Pa is a Podiatrist in Winter Haven, Florida. Podiatry Center Pa practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Podiatry Center Pa is 1477661395. The last update date is 2008-04-20.
Podiatry Center Pa's current location address is 135 1st St South, Winter Haven, Florida. You can contact this provider via phone number 8632931968 and fax number 8632937961. The mailing address for Podiatry Center Pa is 135 1st St South, Winter Haven, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Podiatry Center Pa |
|---|---|
| Address | 135 1st St South, Winter Haven, Florida |
| Phone Number | 8632931968 |
| Fax Number | 8632937961 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Metzendorf Ira David |
| Credentials | DPM |
| Telephone Number | 8632931968 |
NPI Number Detail
| NPI Number | 1477661395 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
| Address | 135 1st St South |
|---|---|
| City | Winter Haven |
| State | Florida (FL) |
| Post Code | 33880 |
| Phone Number | 8632931968 |
| Fax Number | 8632937961 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | PO 0002193 |
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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 |
|---|---|---|---|
| 40418 | FL | MEDICARE ID | |
| 1477661395 | FL | NPI |
Post Comment/ Review Below
What is the Podiatry Center Pa's 1477661395?
The Podiatry Center Pa's NPI (National Provider Identifier) Number is 1477661395. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Podiatry Center Pa's physical address?
The Podiatry Center Pa is physically located at 135 1St St South, in the city of Winter Haven, FL, with the postal code 33880.
What is Podiatry Center Pa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Podiatry Center Pa is Podiatrist, and the taxonomy code that categorizes this field of expertise is 213E00000X.
On what date did Podiatry Center Pa receive its 1477661395 assignment from the Centers for Medicare & Medicaid Services?
The Podiatry Center Pa was assigned its 1477661395 on 2006-08-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Podiatry Center Pa most recently updated or revised?
The information pertaining to Podiatry Center Pa, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-20.