Volusia County Podiatry Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

VOLUSIA COUNTY PODIATRY INC

Practice address

691 Hangnest LN
Lake Mary, FL 32746-7658

Phone

(386) 777-3266

Fax

(386) 774-9096

NPI assigned

Mar 22, 2021

Organization subpart

No

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

Authorized official

Name

Deandrea Duffus, DPMNPI 1073808200

Title

Owner

Phone

(386) 777-3266

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Locations

Practitioners 2

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

• Deandrea Yvonne Duffus, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Debary, FL
  • NPI 1073808200

  FL, Foot & Ankle Surgery

  Medicare reassignment NPD Authorized official
• Adnan Zubair, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Orlando, FL
  • NPI 1962810846

  FL, Foot & Ankle Surgery

  Medicare reassignment NPD

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1073199816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530730",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327530730",
            "telephone_number": "386-777-3266",
            "fax_number": "386-774-9096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 HANGNEST LN",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327467658",
            "telephone_number": "386-777-3266",
            "fax_number": "386-774-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLUSIA COUNTY PODIATRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "DUFFUS",
        "authorized_official_first_name": "DEANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-777-3266",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emily Lauren Waddington, CCC-SLP
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• Wal-Mart Stores East LP

• All providers in Lake Mary, FL
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.