Organization Active NPI

Hollywood-Coral Springs Podiatry PA

  • Podiatrist
  • Hollywood, FL
National Provider Identifier
1396911277
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
P01870 Issued in FL
Legal business name
HOLLYWOOD-CORAL SPRINGS PODIATRY PA
Practice address
4420 Sheridan St
Suite C
Hollywood, FL 33021-3552
Phone
(954) 989-8850
NPI assigned
May 1, 2008
Organization subpart
Yes
Parent organization
HOLLYWOOD-CORAL SPRINGS PODIATRY, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
Jeanne Druzbik
Title
Office MGR
Phone
(954) 753-6766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X P01870 FL Primary

Addresses

Primary practice location

4420 Sheridan St
Suite C
Hollywood, FL 33021-3552

Mailing address

8116 Wiles Rd
Coral Springs, FL 33067-2061
Phone (954) 753-6766

National Provider Directory

National Provider Directory
Tax ID family
Hollywood Coral Springs Podiatry PA2 organizations share this tax ID, including this one
Part of
Hollywood Coral Springs Podiatry PA

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8116 Wiles Rd
Coral Springs, FL 33067
Phone (954) 688-7090

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1396911277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8116 WILES RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672061",
            "telephone_number": "954-753-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 SHERIDAN ST",
            "address_2": "SUITE C",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213552",
            "telephone_number": "954-989-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYWOOD-CORAL SPRINGS PODIATRY PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOLLYWOOD-CORAL SPRINGS PODIATRY, PA",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "DRUZBIK",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "954-753-6766"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "P01870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.