Family Foot Care Specialists Podiatry Center Inc in Fortuna - Foot & Ankle Surgery

Family Foot Care Specialists Podiatry Center Inc - NPI 1699791160

Family Foot Care Specialists Podiatry Center Inc is a Foot & Ankle Surgery in Fortuna, California. Family Foot Care Specialists Podiatry Center Inc practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Family Foot Care Specialists Podiatry Center Inc is 1699791160. The last update date is 2014-08-29.

Family Foot Care Specialists Podiatry Center Inc's current location address is 1730 Main St, Fortuna, California. You can contact this provider via phone number 7077255223 and fax number 7077252756. The mailing address for Family Foot Care Specialists Podiatry Center Inc is 1730 Main St, Fortuna, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Family Foot Care Specialists Podiatry Center Inc
Address 1730 Main St, Fortuna, California
Phone Number 7077255223
Fax Number 7077252756
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER/CEO
Authorized Official Name Kelley Robert Neil
Credentials D.P.M.
Telephone Number 7077255223

NPI Number Detail

NPI Number 1699791160
Provider Enumeration Date 2006-07-15
Last Updated Date 2014-08-29

Provider Mailing Address Detail

Address 1730 Main St
City Fortuna
State California (CA)
Post Code 955402467
Phone Number 7077255223
Fax Number 7077252756

Provider's Primary Taxonomy Detail

Speciality Foot & Ankle Surgery
Taxonomy 213Es0103X
Definition:
A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
GRE001770 CA --
ZZZ64279Z CA BLUE SHIELD GROUP TAX ID
ZZZ64278Z CA BLUE SHIELD GROUP #

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FAQs about Family Foot Care Specialists Podiatry Center Inc

What is the unique 10-digit identification code issued to Family Foot Care Specialists Podiatry Center Inc by the Centers for Medicare & Medicaid Services?

The Family Foot Care Specialists Podiatry Center Inc has been assigned the NPI (National Provider Identifier) 1699791160 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Family Foot Care Specialists Podiatry Center Inc is physically located?

The Family Foot Care Specialists Podiatry Center Inc is situated at the following address: 1730 Main St, Fortuna, CA 955402467.

What is Family Foot Care Specialists Podiatry Center Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Family Foot Care Specialists Podiatry Center Inc is Foot & Ankle Surgery, and the corresponding taxonomy classification code for this specialized field is 213Es0103X.

On what date did the Centers for Medicare & Medicaid Services issue the 1699791160 to Family Foot Care Specialists Podiatry Center Inc?

The Family Foot Care Specialists Podiatry Center Inc received its 1699791160 assignment from the Centers for Medicare & Medicaid Services on 2006-07-15.

When was the information regarding Family Foot Care Specialists Podiatry Center Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Family Foot Care Specialists Podiatry Center Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-08-29.

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