Active NPI
Ambulatory Ankle & Foot Center of Florida Inc
- Ambulatory Surgical Clinic/Center
- Orlando, FL
National Provider Identifier
1508887704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 740
- Legal business name
- AMBULATORY ANKLE & FOOT CENTER OF FLORIDA INC
- Doing business as
- Ambulatory Ankle & Foot Center of FL
- Practice address
- 1509 S Orange Ave
Orlando, FL 32806-2116 - Phone
- (407) 836-6155
- Fax
- (407) 839-0189
- NPI assigned
- Jul 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregory J Renton
- Title
- Ceo
- Phone
- (407) 423-1234
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 740 | FL | Primary |
Addresses
Primary practice location
1509 S Orange Ave
Orlando, FL 32806-2116
Mailing address
3670 Maguire Blvd
Suite 220
Orlando, FL 32803-3071
Phone (407) 423-1234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 079077000 | Medicaid | FL |
Other names 1
- Ambulatory Ankle & Foot Center of FL
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Foot & Ankle Surgery Podiatrist
- Oviedo, FL
- NPI 1598873838
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412640000000",
"number": "1508887704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3670 MAGUIRE BLVD",
"address_2": "SUITE 220",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328033071",
"telephone_number": "407-423-1234",
"fax_number": "407-517-1040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1509 S ORANGE AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062116",
"telephone_number": "407-836-6155",
"fax_number": "407-839-0189"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMBULATORY ANKLE & FOOT CENTER OF FLORIDA INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-22",
"last_updated": "2014-10-07",
"status": "A",
"authorized_official_last_name": "RENTON",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "407-423-1234"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "FL",
"license": "740",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "079077000",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Ambulatory Ankle & Foot Center of FL",
"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 Oct 7, 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.