Hollywood-Coral Springs Podiatry

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO 1870 Issued in FL

Legal business name

HOLLYWOOD-CORAL SPRINGS PODIATRY

Practice address

4420 Sheridan St
Suite C
Hollywood, FL 33021

Phone

(954) 989-8851

Fax

(954) 989-3431

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

David D Clendenning, DPM

Title

President

Phone

(954) 753-6766

Specialties & licenses 1

Addresses

Tax ID family

Hollywood Coral Springs Podiatry PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Hollywood-Coral Springs Podiatry PA

  • Podiatrist
  • Hollywood, FL
  • NPI 1396911277
  NPD tax ID

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669544995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8116 WILES ROAD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "33067",
            "telephone_number": "954-753-6766",
            "fax_number": "954-753-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 SHERIDAN ST",
            "address_2": "SUITE C",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33021",
            "telephone_number": "954-989-8851",
            "fax_number": "954-989-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYWOOD-CORAL SPRINGS PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLENDENNING",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-753-6766",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO 1870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hollywood PT Associates, Inc.
• Hollywood Regional Opco
• Hollywood Sa Tenant Opco, LLC
• Hollywood Surgical Center LLC
• Hollywood Surgical Center, LLC
• Hollywood-Coral Springs Podiatry PA
• Kristian Alexandria Holmes
• Robert Holtzman, MD
• Holy Garden Alf, Inc
• Alan Holz, M.D.

• Podiatrist in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.