NPIMap

Organization Active NPI

South Florida Foot & Ankle Center

  • Podiatrist
  • Royal Palm Beach, FL
National Provider Identifier
1164525267
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
SOUTH FLORIDA FOOT & ANKLE CENTER
Practice address
11412 Okeechobee Blvd
Royal Palm Beach, FL 33411-8722
Phone
(561) 793-6170
Fax
(561) 795-3683
NPI assigned
Sep 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Authorized official

Name
Jonathan M Cutler, DPMNPI 1467400275
Title
President
Phone
(561) 793-6170

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

11412 Okeechobee Blvd
Royal Palm Beach, FL 33411-8722

Mailing address

11412 Okeechobee Blvd
Royal Palm Beach, FL 33411-8722
Phone (561) 793-6170

Other practice location 1

1420 SW Saint Lucie West Blvd Ste 103
Port St Lucie, FL 34986-1709
Phone (561) 793-6170

Other practice location 2

1100 S Main St
Belle Glade, FL 33430-4910
Phone (561) 993-9968

Other practice location 3

3375 Burns Rd Ste 107
Palm Beach Gardens, FL 33410-4360
Phone (561) 691-4682

Other practice location 4

3618 Lantana Rd Ste 102
Lake Worth, FL 33462-2247
Phone (561) 967-4999

Other names 1

  • South Florida Foot & Ankle Centers Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040721000830 FL Part B Supplier - Clinic/Group Practice 7315927316 Receives reassigned benefits from 8 practitioners
Practice locations: West Palm Beach, FL; Royal Palm Beach, FL; Port St Lucie, FL; Lake Worth, FL; Belle Glade, FL; Palm Beach Gardens, FL
O20100930078804 FL DME Supplier - Physician - Podiatry 7315927316 Practice locations: Royal Palm Beach, FL

National Provider Directory

National Provider Directory
Tax ID family
Western Comm Foot Ank6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6651 Boynton Beach Blvd
Boynton Beach, FL 33437

3375 Burns Rd
Ste 107
Palm Beach Gardens, FL 33410
Phone (561) 626-7929

1420 SW Saint Lucie West Blvd
Ste 103
Port St Lucie, FL 34986
Phone (561) 296-1188

1871 SE Tiffany Ave
Ste 120
Port St Lucie, FL 34952
Phone (772) 286-5501

Ownership & related parties

Subparts reporting this organization as parent 6

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1164525267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11412 OKEECHOBEE BLVD",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334118722",
            "telephone_number": "561-793-6170",
            "fax_number": "561-795-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11412 OKEECHOBEE BLVD",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334118722",
            "telephone_number": "561-793-6170",
            "fax_number": "561-795-3683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1420 SW Saint Lucie West Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349861709",
            "country_code": "US",
            "telephone_number": "561-793-6170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 S Main St",
            "address_purpose": "LOCATION",
            "city": "Belle Glade",
            "state": "FL",
            "postal_code": "334304910",
            "country_code": "US",
            "telephone_number": "561-993-9968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3375 Burns Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334104360",
            "country_code": "US",
            "telephone_number": "561-691-4682",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3618 Lantana Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Lake Worth",
            "state": "FL",
            "postal_code": "334622247",
            "country_code": "US",
            "telephone_number": "561-967-4999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTH FLORIDA FOOT & ANKLE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "CUTLER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-793-6170",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Florida Foot & Ankle Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Royal Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.