Active NPI
Hollywood-Coral Springs Podiatry PA
- Podiatrist
- Hollywood, FL
National Provider Identifier
1396911277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- P01870
- 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, PA
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 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 PA
- 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.
-
- Podiatrist
- Hollywood, FL
- NPI 1669544995
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.