Active NPI
Feitz Foot Clinic
- Durable Medical Equipment & Medical Supplies
- Marianna, FL
National Provider Identifier
1124136817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 3663
- Legal business name
- FEITZ FOOT CLINIC
- Practice address
- 3025 6TH St
Marianna, FL 32446-1930 - Phone
- (850) 784-9787
- Fax
- (850) 781-9619
- NPI assigned
- Aug 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel E Feitz, DPM
- Title
- Owner
- Phone
- (850) 784-9787
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 3663 | FL | Primary |
Addresses
Primary practice location
3025 6TH St
Marianna, FL 32446-1930
Mailing address
2424 Frankford Ave
Panama City, FL 32405
Phone (850) 784-9787
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1321574400000",
"number": "1124136817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2424 FRANKFORD AVE",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "32405",
"telephone_number": "850-784-9787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3025 6TH ST",
"city": "MARIANNA",
"state": "FL",
"postal_code": "324461930",
"telephone_number": "850-784-9787",
"fax_number": "850-781-9619"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FEITZ FOOT CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-25",
"last_updated": "2011-11-18",
"status": "A",
"authorized_official_last_name": "FEITZ",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "850-784-9787",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "FL",
"license": "3663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marianna, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.