Foot and Ankle Associates of Brevard LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO 3545 Issued in FL

Legal business name

FOOT AND ANKLE ASSOCIATES OF BREVARD LLC

Practice address

4020 Fair Point LN
Melbourne, FL 32934-8436

Phone

(321) 960-9040

NPI assigned

Feb 6, 2017

Last updated

Feb 6, 2017By 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

Dr. Jared Briant Moyles

Title

Owner

Phone

(321) 960-9040

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1114465515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 FAIR POINT LN",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329348436",
            "telephone_number": "321-960-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 FAIR POINT LN",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329348436",
            "telephone_number": "321-960-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE ASSOCIATES OF BREVARD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "MOYLES",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "BRIANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-960-9040",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO 3545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.