Individual provider Active NPI

Anita Misra Goulart, DPM

  • Foot & Ankle Surgery Podiatrist
  • Debary, FL
National Provider Identifier
1083290662
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO4562 Issued in FL
Practice address
75 Fox Ridge CT Ste H
Debary, FL 32713-2701
Phone
(386) 668-2663
Fax
(386) 668-9561
NPI assigned
Mar 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO4562 FL Primary

Addresses

Primary practice location

75 Fox Ridge CT Ste H
Debary, FL 32713-2701

Mailing address

925 Williston Park PT Ste 1009
Lake Mary, FL 32746-2114
Phone (407) 323-2566

Other practice location 1

925 Williston Park Pt Ste 1009
Lake Mary, FL 32746-2114
Phone (407) 323-2566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240605001488 FL Practitioner - Podiatry 7012326150 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Upperline Healthcare PCGroup PAC ID 4385900653, 194 clinicians
Pascarella Hoover Finkelstein and Wagner DPM PAGroup PAC ID 9436235645, 102 clinicians
Florida Foot and Ankle Group PAGroup PAC ID 3476575994, 6 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

508 Palmetto St
New Smyrna Beach, FL 32168-7325
Phone (386) 270-0659

925 Williston Park PT
Suite 1009
Lake Mary, FL 32746-2114
Phone (407) 323-2566

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue23
Removal of skin lesions12
Removal of nail tissue312
Removal or shaving of skin growth113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO4562FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pascarella, Hoover, Finkelstein, Wagner, DPM, PA CurrentSince Jan 15, 2025 Accepting new patients
Florida Foot & Ankle Group PA Foot & Ankle Surgery CurrentSince Jan 2, 2026 Accepting new patients
Pascarella Hoover Finkelstein & Wagner DPM PA Foot & Ankle Surgery CurrentSince Jan 15, 2025 Accepting new patients
Upperline Healthcare, PC Foot & Ankle Surgery CurrentSince Jul 1, 2024 Accepting new patients
Upperline Healthcare, PC Foot & Ankle Surgery CurrentSince Jul 1, 2024 Accepting new patients
Florida Foot & Ankle Group PA Foot & Ankle Surgery CurrentSince Jan 2, 2026 Accepting new patients

Locations

661 E Altamonte Dr
Ste 210
Altamonte Springs, FL 32701
Phone (407) 339-7759

522 S Hunt Club Blvd
Apopka, FL 32703
Phone (407) 435-0186

1890 Lpga Blvd
Ste 250
Daytona Beach, FL 32117
Phone (386) 274-0250

75 Fox Ridge Ct
Ste H
Debary, FL 32713
Phone (386) 668-2663

819 E Oak St
Ste B
Kissimmee, FL 34744
Phone (407) 846-1234

925 Williston Park Pt
Ste 1009
Lake Mary, FL 32746
Phone (407) 323-2566

508 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 270-0659

7350 Sandlake Commons Blvd
Ste 3329
Orlando, FL 32819
Phone (407) 345-5211

21 Hospital Dr
Ste 170A
Palm Coast, FL 32164
Phone (386) 586-7373

922 E Call St
Starke, FL 32091
Phone (904) 368-2300

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: anita.misra.goulart.1@4399.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1083290662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 WILLISTON PARK PT STE 1009",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462114",
            "telephone_number": "407-323-2566",
            "fax_number": "407-369-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 FOX RIDGE CT STE H",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327132701",
            "telephone_number": "386-668-2663",
            "fax_number": "386-668-9561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925 Williston Park Pt Ste 1009",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327462114",
            "country_code": "US",
            "telephone_number": "407-323-2566",
            "fax_number": "407-369-3415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISRA GOULART",
        "first_name": "ANITA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Debary, FL

Sources for this page

Verify at the official NPI Registry.