Organization Active NPI

Treasure Coast Mobile Podiatry LLC

  • Primary Podiatric Medicine Podiatrist
  • Okeechobee, FL
National Provider Identifier
1316512544
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
Legal business name
TREASURE COAST MOBILE PODIATRY LLC
Practice address
180 NW 3Rd Ave Ste a
Okeechobee, FL 34972-4118
Phone
(561) 586-8313
NPI assigned
May 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Authorized official

Name
Dr. Randhir A. Lal, DPM
Title
Member
Phone
(561) 586-8313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X Primary

Addresses

Primary practice location

180 NW 3Rd Ave Ste a
Okeechobee, FL 34972-4118

Mailing address

180 NW 3Rd Ave Ste a
Okeechobee, FL 34972-4118
Phone (561) 586-8313

National Provider Directory

National Provider Directory

Locations

180 NW 3rd Ave
Ste A
Okeechobee, FL 34972

NPI Registry JSON

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1316512544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 NW 3RD AVE STE A",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349724118",
            "telephone_number": "561-586-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 NW 3RD AVE STE A",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349724118",
            "telephone_number": "561-586-8313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE COAST MOBILE PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "LAL",
        "authorized_official_first_name": "RANDHIR",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "561-586-8313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okeechobee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.