Organization Active NPI

Family Podiatry of Central Florida PA

Doing business as FPCF Lake Underhill

  • Podiatrist
  • Orlando, FL
National Provider Identifier
1477102846
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
FAMILY PODIATRY OF CENTRAL FLORIDA PA
Doing business as
FPCF Lake Underhill
Practice address
11616 Lake Underhill Rd Ste 205
Orlando, FL 32825-4466
Phone
(407) 647-2346
NPI assigned
Sep 9, 2019
Last updated
Jun 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Authorized official

Name
Kelli Kaplan
Title
Director of Operations
Phone
(407) 461-4499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

11616 Lake Underhill Rd Ste 205
Orlando, FL 32825-4466

Mailing address

525 Technology Park
Lake Mary, FL 32746-7107

Other practice location 1

525 Technology Park Ste 109
Lake Mary, FL 32746-7107
Phone (407) 647-2346 ext. 139

Other names 1

  • FPCF Lake Underhill Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family Podiatry of Central Florida PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1477102846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 TECHNOLOGY PARK",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327467107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11616 LAKE UNDERHILL RD STE 205",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254466",
            "telephone_number": "407-647-2346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Technology Park Ste 109",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327467107",
            "country_code": "US",
            "telephone_number": "407-647-2346 x139",
            "fax_number": "407-647-5431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY PODIATRY OF CENTRAL FLORIDA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-09",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "KAPLAN",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "407-461-4499"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FPCF Lake Underhill",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FPCF Lake Underhill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.