Miami Feet LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO3575 Issued in FL

Legal business name

MIAMI FEET LLC

Practice address

18296 NW 61St PL
Hialeah, FL 33015-5603

Phone

(305) 335-1143

NPI assigned

Aug 20, 2013

Organization subpart

No

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

Authorized official

Name

Brunilda Ducellari, DPMNPI 1225389620

Title

President

Phone

(305) 335-1143

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

Practitioners 1

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

• Brunilda Ducellari, DPM

  • Foot & Ankle Surgery Podiatrist
  • Miami, FL
  • NPI 1225389620
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1205269651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18296 NW 61ST PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155603",
            "telephone_number": "305-335-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18296 NW 61ST PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155603",
            "telephone_number": "305-335-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI FEET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-20",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "DUCELLARI",
        "authorized_official_first_name": "BRUNILDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-335-1143",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PO3575",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miami Blue Health Corp.
• Miami Care Services Corp
• Miami Community Health Center, Inc
• Miami Dade Physical Rehabilitation Inc
• Miami Family Chiropractic Center Inc.
• Miami Florida Mental Health Counseling
• Miami Global OB/GYN, LLC
• Miami Grand Rehabilitation Center
• Miami Grand Rehabilitation Center,Inc.
• Miami Gynecologic Oncology

• Podiatrist in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.