NPIMap

Organization Active NPI

Florida Foot & Ankle Group PA

  • Foot & Ankle Surgery Podiatrist
  • Lake Mary, FL
National Provider Identifier
1508183732
Registry record updated Sep 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
FLORIDA FOOT & ANKLE GROUP PA
Practice address
925 Williston Park PT
Suite 1009
Lake Mary, FL 32746-2114
Phone
(407) 323-2566
Fax
(407) 324-3577
NPI assigned
Apr 28, 2010
Last updated
Sep 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2014

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

Authorized official

Name
Dr. Walter E Roth III, DPMNPI 1275501876
Title
Treasurer
Phone
(407) 323-2566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

925 Williston Park PT
Suite 1009
Lake Mary, FL 32746-2114

Mailing address

522 S Hunt Club Blvd Ste 344
Apopka, FL 32703-4960
Phone (407) 323-2566

National Provider Directory

National Provider Directory

Locations

75 Fox Ridge Ct
Ste H
Debary, FL 32713
Phone (386) 668-2663

925 Williston Park Pt
Ste 1009
Lake Mary, FL 32746
Phone (407) 323-2566

10000 W Colonial Dr
Ste 126
Ocoee, FL 34761
Phone (407) 679-9744

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411171200000",
    "number": "1508183732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 S HUNT CLUB BLVD STE 344",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327034960",
            "telephone_number": "407-323-2566",
            "fax_number": "407-324-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 WILLISTON PARK PT",
            "address_2": "SUITE 1009",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462114",
            "telephone_number": "407-323-2566",
            "fax_number": "407-324-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA FOOT & ANKLE GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-28",
        "last_updated": "2014-09-20",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "407-323-2566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2014; 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.