Organization Active NPI

Central Florida Podiatry, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Orlando, FL
National Provider Identifier
1720017866
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3097 Issued in FL
Legal business name
CENTRAL FLORIDA PODIATRY, INC.
Practice address
724 Charles St.
Orlando, FL 32808
Phone
(407) 209-7175
Fax
(407) 523-9325
NPI assigned
Jul 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

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

Authorized official

Name
Dr. Agnes Katarzyna Bartoszek, D.P.MNPI 1558361097
Title
President
Phone
(727) 572-5449

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO3097 FL Primary

Addresses

Primary practice location

724 Charles St.
Orlando, FL 32808

Mailing address

12180 28TH St N
Saint Petersburg, FL 33716-1820
Phone (727) 572-5449

Other identifiers 1

IdentifierTypeStateIssuer
340504400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060302000670 FL Part B Supplier - Clinic/Group Practice 7517973381 Receives reassigned benefits from 1 practitioner
Practice locations: Orlando, FL; Sanford, FL; Oviedo, FL; Saint Cloud, FL; Winter Garden, FL; Winter Park, FL; Winter Springs, FL; Casselberry, FL…

National Provider Directory

National Provider Directory

Locations

132 E Citrus St
Altamonte Springs, FL 32701
Phone (407) 834-2591

765 N Wekiwa Springs Rd
Apopka, FL 32712
Phone (407) 764-7572

335 Foster Cv
Chuluota, FL 32766
Phone (407) 366-9961

230 Fern Park Blvd
Fern Park, FL 32730
Phone (407) 331-7231

740 N Wymore Rd
Maitland, FL 32751
Phone (407) 628-0123

8015 Pin Oak Dr
Orlando, FL 32819
Phone (407) 363-4511

4409 Wayfarer Pl
Orlando, FL 32807
Phone (407) 949-4488

4635 Carmel St
Orlando, FL 32808
Phone (407) 965-3018

3800 W Town Center Blvd
Ste 200
Orlando, FL 32837
Phone (407) 251-8088

1111 S Lakemont Ave
Winter Park, FL 32792
Phone (407) 647-4083

1016 Willa Springs Dr
Winter Springs, FL 32708
Phone (407) 341-5471

Practitioners & affiliated clinicians

Practitioners 2

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": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377734400000",
    "number": "1720017866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12180 28TH ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337161820",
            "telephone_number": "727-572-5449",
            "fax_number": "727-573-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 CHARLES ST.",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32808",
            "telephone_number": "407-209-7175",
            "fax_number": "407-523-9325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA PODIATRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2013-08-29",
        "status": "A",
        "authorized_official_last_name": "BARTOSZEK",
        "authorized_official_first_name": "AGNES",
        "authorized_official_middle_name": "KATARZYNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-572-5449",
        "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": "PO3097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340504400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.