Organization Active NPI

The Foot & Ankle Group of the Treasure Coast, LLC

  • Foot & Ankle Surgery Podiatrist
  • Palm City, FL
National Provider Identifier
1699891945
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO2616 Issued in FL
Legal business name
THE FOOT & ANKLE GROUP OF THE TREASURE COAST, LLC
Practice address
3087 SW Martin Downs Blvd
Palm City, FL 34990-2644
Phone
(772) 223-8816
Fax
(772) 781-7375
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Craig Jason Breslauer, D.P.M.
Title
Owner
Phone
(772) 223-8816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO2616 FL Primary

Addresses

Primary practice location

3087 SW Martin Downs Blvd
Palm City, FL 34990-2644

Mailing address

3087 SW Martin Downs Blvd
Palm City, FL 34990-2644
Phone (772) 223-8816

Other names 1

  • The Foot & Ankle Group Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699891945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3087 SW MARTIN DOWNS BLVD",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349902644",
            "telephone_number": "772-223-8816",
            "fax_number": "772-781-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3087 SW MARTIN DOWNS BLVD",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349902644",
            "telephone_number": "772-223-8816",
            "fax_number": "772-781-7375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FOOT & ANKLE GROUP OF THE TREASURE COAST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRESLAUER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-223-8816",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Foot & Ankle Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm City, FL

Sources for this page

  • 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.