Active NPI
Foot & Ankle Associates of West Florida PA
- Podiatrist
- Brooksville, FL
National Provider Identifier
1407042666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO 0001603
- Legal business name
- FOOT & ANKLE ASSOCIATES OF WEST FLORIDA PA
- Practice address
- 11373 Cortez Blvd Ste 305
Brooksville, FL 34613-5411 - Phone
- (352) 596-8348
- Fax
- (352) 596-7051
- NPI assigned
- Sep 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charles M Miller, DPM
- Title
- Owner
- Phone
- (352) 596-8348
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO 0001603 | FL | Primary |
Addresses
Primary practice location
11373 Cortez Blvd Ste 305
Brooksville, FL 34613-5411
Mailing address
11373 Cortez Blvd Ste 305
Brooksville, FL 34613-5411
Phone (352) 596-8348
National Provider Directory
National Provider DirectoryLocations
11373 Cortez Blvd
Ste 305
Spring Hill, FL 34613
Phone (352) 268-1373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1281312000000",
"number": "1407042666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11373 CORTEZ BLVD STE 305",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346135411",
"telephone_number": "352-596-8348",
"fax_number": "352-596-7051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11373 CORTEZ BLVD STE 305",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346135411",
"telephone_number": "352-596-8348",
"fax_number": "352-596-7051"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOT & ANKLE ASSOCIATES OF WEST FLORIDA PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-21",
"last_updated": "2010-08-09",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "352-596-8348",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "FL",
"license": "PO 0001603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooksville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.