South Florida Advanced Ankle & Foot Surgeons

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO0002858 Issued in FL

Legal business name

SOUTH FLORIDA ADVANCED ANKLE & FOOT SURGEONS

Practice address

835 Tammy Rd
Clewiston, FL 33440-8410

Phone

(239) 564-7270

NPI assigned

Jan 19, 2018

Organization subpart

No

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

Authorized official

Name

Alphonse Tribuiani, DO

Title

Owner

Phone

(239) 564-7270

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1516320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516320000000",
    "number": "1124536529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 TAMMY RD",
            "city": "CLEWISTON",
            "state": "FL",
            "postal_code": "334408410",
            "telephone_number": "239-564-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 TAMMY RD",
            "city": "CLEWISTON",
            "state": "FL",
            "postal_code": "334408410",
            "telephone_number": "239-564-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA ADVANCED ANKLE & FOOT SURGEONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-19",
        "last_updated": "2018-01-19",
        "status": "A",
        "authorized_official_last_name": "TRIBUIANI",
        "authorized_official_first_name": "ALPHONSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-564-7270",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO0002858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; 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.