Lake Foot And Ankle Pa in Leesburg - Foot & Ankle Surgery

Lake Foot And Ankle Pa - NPI 1780773317

Lake Foot And Ankle Pa is a Foot & Ankle Surgery in Leesburg, Florida. Lake Foot And Ankle Pa practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Lake Foot And Ankle Pa is 1780773317. The last update date is 2009-10-13.

Lake Foot And Ankle Pa's current location address is 1330 Citizens Blvd, Leesburg, Florida. You can contact this provider via phone number 3527281252 and fax number 3527280079. The mailing address for Lake Foot And Ankle Pa is 1330 Citizens Blvd, Leesburg, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lake Foot And Ankle Pa
Address 1330 Citizens Blvd, Leesburg, Florida
Phone Number 3527281252
Fax Number 3527280079
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER/PRES
Authorized Official Name Weber S Karsten
Credentials DPM
Telephone Number 3527281252

NPI Number Detail

NPI Number 1780773317
Provider Enumeration Date 2006-10-12
Last Updated Date 2009-10-13

Provider Mailing Address Detail

Address 1330 Citizens Blvd
City Leesburg
State Florida (FL)
Post Code 347483959
Phone Number 3527281252
Fax Number 3527280079

Provider's Primary Taxonomy Detail

Speciality Foot & Ankle Surgery
Taxonomy 213Es0103X
Licence No PO 3114
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
DG4530 FL RAILROAD MEDICARE GROUP
P00436246 FL RAILROAD MEDICARE PTAN

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FAQs about Lake Foot And Ankle Pa

What is the unique 10-digit identification code issued to Lake Foot And Ankle Pa by the Centers for Medicare & Medicaid Services?

The Lake Foot And Ankle Pa has been assigned the NPI (National Provider Identifier) 1780773317 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Lake Foot And Ankle Pa is geographically located?

The Lake Foot And Ankle Pa is physically situated at the following location: 1330 Citizens Blvd, Leesburg, FL, 347483959.

What is the Lake Foot And Ankle Pa's specialty and taxonomy code?

The Lake Foot And Ankle Pa's specialty is Foot & Ankle Surgery, and the corresponding taxonomy code is 213Es0103X.

When was the Lake Foot And Ankle Pa's 1780773317 issued?

The Lake Foot And Ankle Pa's 1780773317 was issued on 2006-10-12.

As of what date were the details pertaining to Lake Foot And Ankle Pa last refreshed?

The information related to the Lake Foot And Ankle Pa, including its address, specialty, and other relevant details, was last updated on 2009-10-13.

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