Lake Foot Clinic Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO1193 Issued in FL

Legal business name

LAKE FOOT CLINIC INC

Practice address

629 S Grove St
Eustis, FL 32726

Phone

(352) 589-1335

Fax

(352) 589-1336

NPI assigned

Feb 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. James T Rotella, DPM

Title

President Owner of Lake Foot Clinic

Phone

(352) 589-1335

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.

• Karsten S. Weber, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Leesburg, FL
  • NPI 1609898642
  NPD (past)

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226448000000",
    "number": "1306015748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 S GROVE ST",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "32726",
            "telephone_number": "352-589-1335",
            "fax_number": "352-589-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 S GROVE ST",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "32726",
            "telephone_number": "352-589-1335",
            "fax_number": "352-589-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE FOOT CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-11-12",
        "status": "A",
        "authorized_official_last_name": "ROTELLA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT OWNER OF LAKE FOOT CLINIC",
        "authorized_official_telephone_number": "352-589-1335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO1193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "K8096",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanya Jean Lafrinere
• Marie Laguerre Small, SLPA
• Lake County Primary Medical Care LLC
• Lake County Spine and Injury
• Lake Eustis Operating Investments LLC (Bedrock Rehabilitation and Nursing Center at Lake Eustis)
• Lake Health Care Center Inc
• Lake Internal Medicine Associates
• Lake Respiratory Services, Inc.
• Lake View Nutrition Consulting SVCS. Inc.
• Lake Women for Women OB/GYN,LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; 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.