Southlake Orthopaedics Sports Medicine & Spine Center Pc in Hoover - Pedorthist

Southlake Orthopaedics Sports Medicine & Spine Center Pc - NPI 1043268402

Southlake Orthopaedics Sports Medicine & Spine Center Pc is a Pedorthist in Hoover, Alabama. Southlake Orthopaedics Sports Medicine & Spine Center Pc practices all healthcare services and medical treatments related to Pedorthist. The NPI Number for Southlake Orthopaedics Sports Medicine & Spine Center Pc is 1043268402. The last update date is 2022-02-10.

Southlake Orthopaedics Sports Medicine & Spine Center Pc's current location address is 4517 Southlake Pkwy, Hoover, Alabama. You can contact this provider via phone number 2059854111 and fax number 2059854326. The mailing address for Southlake Orthopaedics Sports Medicine & Spine Center Pc is 4517 Southlake Pkwy, Hoover, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Organization Southlake Orthopaedics Sports Medicine & Spine Center Pc
Address 4517 Southlake Pkwy, Hoover, Alabama
Phone Number 2059854111
Fax Number 2059854326
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Blum Frances Michael
Telephone Number 2059854111

NPI Number Detail

NPI Number 1043268402
Provider Enumeration Date 2006-05-05
Last Updated Date 2022-02-10

Provider Mailing Address Detail

Address 4517 Southlake Pkwy
City Hoover
State Alabama (AL)
Post Code 352443280
Phone Number 2059854111
Fax Number 2059854326

Provider's Primary Taxonomy Detail

Speciality Pedorthist
Taxonomy 224L00000X
Definition:
An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
G715 AL MEDICARE
529802230 AL --

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FAQs about Southlake Orthopaedics Sports Medicine & Spine Center Pc

What is the unique provider identifier assigned to Southlake Orthopaedics Sports Medicine & Spine Center Pc?

The Southlake Orthopaedics Sports Medicine & Spine Center Pc has been issued the NPI (National Provider Identifier) 1043268402 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Southlake Orthopaedics Sports Medicine & Spine Center Pc is located?

The Southlake Orthopaedics Sports Medicine & Spine Center Pc is situated at the following address: 4517 Southlake Pkwy, Hoover, AL, 352443280.

What is Southlake Orthopaedics Sports Medicine & Spine Center Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Southlake Orthopaedics Sports Medicine & Spine Center Pc is Pedorthist, and the taxonomy code that categorizes this field of expertise is 224L00000X.

When was the Southlake Orthopaedics Sports Medicine & Spine Center Pc's 1043268402 issued?

The Southlake Orthopaedics Sports Medicine & Spine Center Pc's 1043268402 was issued on 2006-05-05.

As of what date was the information pertaining to Southlake Orthopaedics Sports Medicine & Spine Center Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Southlake Orthopaedics Sports Medicine & Spine Center Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-02-10.

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