Foot and Ankle Sport Center LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO2570 Issued in FL

Legal business name

FOOT AND ANKLE SPORT CENTER LLC

Practice address

17751 SW 2ND St
Pembroke Pines, FL 33029-3924

Phone

(954) 450-0099

Fax

(866) 381-9207

NPI assigned

Nov 23, 2010

Last updated

Sep 16, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Augustine A. Bollo, DPMNPI 1134191588

Title

Owner

Phone

(954) 450-0099

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3088/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Augustine A Bollo, DPM

  • Foot & Ankle Surgery Podiatrist
  • Pembroke Pines, FL
  • NPI 1134191588
  Authorized official Same address or phone

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473984000000",
    "number": "1427350511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17751 SW 2ND ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293924",
            "telephone_number": "954-450-0099",
            "fax_number": "866-381-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17751 SW 2ND ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293924",
            "telephone_number": "954-450-0099",
            "fax_number": "866-381-9207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE SPORT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-23",
        "last_updated": "2016-09-16",
        "status": "A",
        "authorized_official_last_name": "BOLLO",
        "authorized_official_first_name": "AUGUSTINE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-450-0099",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hugo Bittar Fonseca, D.O.
• Martina Yendis Fonseca
• Rodrigo B Fonseca, MD
• Eduardo Fontana
• Adianeliss Fontanez Anaya
• Foot, Ankle & Leg Specialists
• Foot, Ankle & Leg Specialists
• Francesann Ford, MD
• Leah Hilary Ford, D.P.M.
• Frans Vanessa Forero, MSN, APRN, FNP-BC

• Foot & Ankle Surgery Podiatrist in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.