PBC Foot Ankle Center LLC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

PBC FOOT ANKLE CENTER LLC

Practice address

4362 Northlake Blvd Ste 209
Palm Beach Gardens, FL 33410-6270

Phone

(561) 345-2299

Fax

(888) 830-1589

NPI assigned

Sep 11, 2023

Organization subpart

No

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

Authorized official

Name

Juan Sardina, DPMNPI 1306099304

Title

Manager

Phone

(561) 329-2299

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juan Enrique Sardina, DPM

  • Foot & Ankle Surgery Podiatrist
  • Palm Beach Gardens, FL
  • NPI 1306099304
  NPD Authorized official

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1679350060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "796 PATRICK DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334064434",
            "telephone_number": "561-329-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4362 NORTHLAKE BLVD STE 209",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106270",
            "telephone_number": "561-345-2299",
            "fax_number": "888-830-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PBC FOOT ANKLE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "SARDINA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-329-2299",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1306099304",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Peacemaking of the Human Spirit
• Carisa Karin Pearce, M.D.
• Duane Pearson, APRN

• Podiatric Clinic/Center in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, 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 Sep 11, 2023; 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.