Stephen Petrofsky DPM PA

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

PO000791 Issued in FL

Legal business name

STEPHEN PETROFSKY DPM PA

Practice address

2525 Harbor Blvd
Suite 206
PT Charlotte, FL 33952-5342

Phone

(941) 625-3330

Fax

(941) 625-5753

NPI assigned

Apr 15, 2008

Last updated

Apr 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephen Petrofsky, DPMNPI 1821051160

Title

Owner

Phone

(941) 625-3330

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen Petrofsky, D.P.M.

  • Foot Surgery Podiatrist
  • PT Charlotte, FL
  • NPI 1821051160
  Authorized official Same address or phone

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1063686756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 HARBOR BLVD",
            "address_2": "SUITE 206",
            "city": "PT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525342",
            "telephone_number": "941-625-3330",
            "fax_number": "941-625-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 HARBOR BLVD",
            "address_2": "SUITE 206",
            "city": "PT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525342",
            "telephone_number": "941-625-3330",
            "fax_number": "941-625-5753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN PETROFSKY DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "PETROFSKY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-625-3330",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "PO000791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neeta Sookhoo, PSYD
• Triad Radiology LLC
• Andrew K. Weitzel, D.O.
• Wellspring Counseling Center Inc

• Durable Medical Equipment & Medical Supplies in PT Charlotte, FL
• Providers in PT Charlotte, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.