Guardian Angel Foot Care of Bradenton Venice and Englewood Inc

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

GUARDIAN ANGEL FOOT CARE OF BRADENTON VENICE AND ENGLEWOOD INC

Practice address

2400 S McCall Rd Ste F
Englewood, FL 34224-5136

Phone

(941) 473-3338

NPI assigned

Nov 20, 2007

Last updated

Apr 22, 2008By 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

Herbert T Lane, DPMNPI 1851453278

Title

President

Phone

(941) 473-3338

Specialties & licenses 1

Addresses

Locations

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.

• Herbert Tommy Lane, DPM

  • Podiatrist
  • Englewood, FL
  • NPI 1851453278
  Authorized official Same address or phone

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1629259429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S MCCALL RD STE F",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342245136",
            "telephone_number": "941-473-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 S MCCALL RD STE F",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342245136",
            "telephone_number": "941-473-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANGEL FOOT CARE OF BRADENTON VENICE AND ENGLEWOOD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-473-3338",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grand Villa of Englewood, LLC
• Brian Clay Greene, MD
• Rachel M Gregoroff, C.R.N.P
• Charles M Gremillion Jr., MD
• Darla Griswold
• Ella Marie Guastavino, M.D.
• Lauren Guillot, DDS
• Ashraf Adib Guindi, MD
• Gulf Coast Acupuncture & Wellness Clinic, Inc.
• Gulf Coast Comprehensive Care LLP

• Podiatric Clinic/Center in Englewood, FL
• Providers in Englewood, 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 Apr 22, 2008; 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.