Florida Foot and Ankle Clinic LLC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

FLORIDA FOOT AND ANKLE CLINIC LLC

Practice address

2655 Lakebreeze LN S
Clearwater, FL 33759-1042

Phone

(727) 710-9336

NPI assigned

May 2, 2020

Organization subpart

No

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

Authorized official

Name

Seyed Fakhreddin NamaziNPI 1235627647

Title

Manager

Phone

(727) 710-9336

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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

• Seyed Fakhreddin Namazi, DPM

  • Podiatrist
  • South Miami, FL
  • NPI 1235627647
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1588377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588377600000",
    "number": "1275154148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 LAKEBREEZE LN S",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337591042",
            "telephone_number": "727-710-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 LAKEBREEZE LN S",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337591042",
            "telephone_number": "727-710-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA FOOT AND ANKLE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-02",
        "last_updated": "2020-05-02",
        "certification_date": "2020-05-02",
        "status": "A",
        "authorized_official_last_name": "NAMAZI",
        "authorized_official_first_name": "SEYED FAKHREDDIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "727-710-9336"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatric Clinic/Center in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Podiatric Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2020; 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.