Faklis Orthopedic Services

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

ORT 84 Issued in FL

Legal business name

FAKLIS ORTHOPEDIC SERVICES

Practice address

139 E Tarpon Ave
Tarpon Springs, FL 34689-3451

Phone

(727) 938-1525

Fax

(727) 938-1669

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Vasile G Faklis, CO, BOCONPI 1407916919

Title

Owner, Othotist

Phone

(727) 938-1525

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Vasile G Faklis, CO, BOCO

  • Specialist
  • Tarpon Springs, FL
  • NPI 1407916919
  NPD (past) Authorized official

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194825600000",
    "number": "1295895795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 E TARPON AVE",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346893451",
            "telephone_number": "727-938-1525",
            "fax_number": "727-938-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 E TARPON AVE",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346893451",
            "telephone_number": "727-938-1525",
            "fax_number": "727-938-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAKLIS ORTHOPEDIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-11-12",
        "status": "A",
        "authorized_official_last_name": "FAKLIS",
        "authorized_official_first_name": "VASILE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER, OTHOTIST",
        "authorized_official_telephone_number": "727-938-1525",
        "authorized_official_credential": "CO, BOCO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "ORT 84",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021837500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Tarpon Springs, FL
• Providers in Tarpon Springs, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; 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.