Integrative Foot and Ankle LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO3394 Issued in FL

Legal business name

INTEGRATIVE FOOT AND ANKLE LLC

Practice address

100 Century Blvd
West Palm Beach, FL 33417-2262

Phone

(561) 293-3439

Fax

(561) 689-1844

NPI assigned

Feb 10, 2015

Organization subpart

No

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

Authorized official

Name

Daniel J Pero, DPM

Title

Podiatrist

Phone

(561) 293-3439

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Integrative Foot and Ankle LLC

  • Podiatrist
  • West Palm Beach, FL
  • NPI 1386910305

  O20120823000204

  Same enrollment
• Integrative Foot and Ankle LLC

  • Foot & Ankle Surgery Podiatrist
  • Jupiter, FL
  • NPI 1558752709

  O20120823000204

  Same enrollment

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1194116343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 OSCEOLA DR",
            "address_2": "STE 201",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334095075",
            "telephone_number": "561-293-3439",
            "fax_number": "561-689-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CENTURY BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334172262",
            "telephone_number": "561-293-3439",
            "fax_number": "561-689-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE FOOT AND ANKLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "PERO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "561-293-3439",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3394",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "FD1702",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Integrative Foot and Ankle LLC
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• Integrity Healthcare Services, LLC
• Integrity Living Services LLC
• Intentional Hearts Homecare LLC

• Foot & Ankle Surgery Podiatrist in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.