V.I.P. Foot & Ankle Center, LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO3442 Issued in FL

Legal business name

V.I.P. FOOT & ANKLE CENTER, LLC

Practice address

17751 SW 2ND St
Pembroke Pines, FL 33029-3924

Phone

(954) 450-0099

Fax

(954) 450-0022

NPI assigned

Mar 27, 2018

Organization subpart

No

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

Authorized official

Name

Laura B Burke

Title

CMS

Phone

(954) 563-4472

Specialties & licenses 1

Addresses

Other names 1

• V.I.P. Foot & Ankle Center, LLC Other name

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1174028757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17751 SW 2ND ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293924",
            "telephone_number": "954-450-0099",
            "fax_number": "954-450-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17751 SW 2ND ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293924",
            "telephone_number": "954-450-0099",
            "fax_number": "954-450-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V.I.P. FOOT & ANKLE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-03-27",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CMS",
        "authorized_official_telephone_number": "954-563-4472"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "V.I.P. Foot & Ankle Center, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.