Organization Active NPI

Foot & Ankle Associates of West Florida PA

  • Podiatrist
  • Brooksville, FL
National Provider Identifier
1407042666
Registry record updated Aug 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO 0001603 Issued in FL
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

Updated by the provider on Aug 9, 2010

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.