NPIMap

Organization Active NPI

Mobile Foot Doc LLC

  • Podiatrist
  • Naples, FL
National Provider Identifier
1699270108
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO2969 Issued in FL
Legal business name
MOBILE FOOT DOC LLC
Practice address
7801 Airport Pulling Rd N
Naples, FL 34109-1717
Phone
(239) 567-9790
NPI assigned
Mar 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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

Authorized official

Name
Marcelo Villalba, DPMNPI 1891887949
Title
Owner
Phone
(863) 242-9296

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X PO2969 FL Primary

Addresses

Primary practice location

7801 Airport Pulling Rd N
Naples, FL 34109-1717

Mailing address

4445 NW 100TH Ave
Coral Springs, FL 33065-1550

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1699270108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 NW 100TH AVE",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330651550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 AIRPORT PULLING RD N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341091717",
            "telephone_number": "239-567-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE FOOT DOC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-03-27",
        "status": "A",
        "authorized_official_last_name": "VILLALBA",
        "authorized_official_first_name": "MARCELO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-242-9296",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.