Robert a Iannacone DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

ROBERT A IANNACONE DPM

Practice address

691 SW Port Saint Lucie Blvd
Port Saint Lucie, FL 34953-1998

Phone

(772) 878-0040

Fax

(772) 878-4265

NPI assigned

Dec 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert A Iannacone, DPM

Title

Owner

Phone

(772) 878-0040

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1467635011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "691 SW PORT SAINT LUCIE BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349531998",
            "telephone_number": "772-878-0040",
            "fax_number": "772-878-4265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 SW PORT SAINT LUCIE BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349531998",
            "telephone_number": "772-878-0040",
            "fax_number": "772-878-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A IANNACONE DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "IANNACONE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-878-0040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephany Rivera Amin, LCSW
• Roberta A Roas, PSY.D.
• Yohanka Robaina
• Craig Roberson, L.M.T.
• Robert a Dudley, C.R.N.a., P.a.
• Robert B. Musser
• Tania Grace Robert Jaganathan
• Lauren Roberts, M.A.
• Nicole Roberts
• Dandra Robinson

• Podiatrist in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.