Lakeland Foot & Ankle Center PA

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO0002468 Issued in FL

Legal business name

LAKELAND FOOT & ANKLE CENTER PA

Practice address

1543 Lakeland Hills Blvd
Ste B
Lakeland, FL 33805-3246

Phone

(863) 682-3395

Fax

(863) 802-1225

NPI assigned

Jan 6, 2006

Organization subpart

No

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

Authorized official

Name

Gregory G Cook, DPM

Title

President

Phone

(863) 682-3395

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Gregory G. Cook D.P.M Other name

Locations

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1366420606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1543 LAKELAND HILLS BLVD",
            "address_2": "STE B",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053246",
            "telephone_number": "863-682-3395",
            "fax_number": "863-802-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1543 LAKELAND HILLS BLVD",
            "address_2": "STE B",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053246",
            "telephone_number": "863-682-3395",
            "fax_number": "863-802-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND FOOT & ANKLE CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-06",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-682-3395",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO0002468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480024416",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "65402",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gregory G. Cook D.P.M",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Lakeland Institute for Learning Org Corp
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• Podiatrist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; 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.