Doc 2 U Mobile Podiatry

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

DOC 2 U MOBILE PODIATRY

Practice address

10522 Cedar Forest Cir
Clermont, FL 34711-6151

Phone

(863) 701-4172

Fax

(352) 414-5644

NPI assigned

Feb 22, 2019

Last updated

Feb 22, 2019By 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

Dr. Syed M Amouzegar, DPMNPI 1285704163

Title

President

Phone

(863) 701-4172

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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.

• Syed Morteza Amouzegar, DPM

  • Podiatrist
  • Clermont, FL
  • NPI 1285704163
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550793600000",
    "number": "1477010734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10522 CEDAR FOREST CIR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116151",
            "telephone_number": "863-701-4172",
            "fax_number": "352-414-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10522 CEDAR FOREST CIR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116151",
            "telephone_number": "863-701-4172",
            "fax_number": "352-414-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOC 2 U MOBILE PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-02-22",
        "status": "A",
        "authorized_official_last_name": "AMOUZEGAR",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-701-4172",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatric Clinic/Center in Clermont, FL
• Providers in Clermont, FL by specialty
• Podiatric Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.