NPIMap

Organization Active NPI

Saint Lucie Foot & Ankle Centre, Inc

Doing business as Saint Lucie Foot & Ankle Centre

  • Foot & Ankle Surgery Podiatrist
  • Port Saint Lucie, FL
National Provider Identifier
1053849349
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3910 Issued in FL
Legal business name
SAINT LUCIE FOOT & ANKLE CENTRE, INC
Doing business as
Saint Lucie Foot & Ankle Centre
Practice address
1696 SE Hillmoor Dr Ste a
Port Saint Lucie, FL 34952-7699
Phone
(772) 800-5811
NPI assigned
May 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael Doss, DPMNPI 1639481765
Title
Director
Phone
(772) 800-5811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO3910 FL Primary

Addresses

Primary practice location

1696 SE Hillmoor Dr Ste a
Port Saint Lucie, FL 34952-7699

Mailing address

1696 SE Hillmoor Dr Ste a
Port Saint Lucie, FL 34952-7699
Phone (772) 800-5811

Other names 1

  • Saint Lucie Foot & Ankle Centre Doing business as

National Provider Directory

National Provider Directory

Locations

1696 SE Hillmoor Dr
Ste A
Port St Lucie, FL 34952
Phone (772) 337-4600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1053849349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1696 SE HILLMOOR DR STE A",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527699",
            "telephone_number": "772-800-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1696 SE HILLMOOR DR STE A",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527699",
            "telephone_number": "772-800-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT LUCIE FOOT & ANKLE CENTRE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DOSS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "772-800-5811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Lucie Foot & Ankle Centre",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Saint Lucie Foot & Ankle Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.