Active NPI
Gentle Foot Care Clinic, PA
- Foot & Ankle Surgery Podiatrist
- Brandon, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- GENTLE FOOT CARE CLINIC, PA
- Practice address
- 601 Lithia Pinecrest Rd
Brandon, FL 33511-6114 - Phone
- (813) 782-3233
- Fax
- (813) 502-5904
- NPI assigned
- Jan 30, 2023
- Organization subpart
- Yes
- Parent organization
- GENTLE FOOT CARE CLINIC, PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jairo B Cruz, DPM
- Title
- Medical Director
- Phone
- (813) 782-3233
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
601 Lithia Pinecrest Rd
Brandon, FL 33511-6114
Mailing address
601 Lithia Pinecrest Rd
Brandon, FL 33511-6114
Phone (813) 782-3233
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5157370001 | Other | FL | DME |
National Provider Directory
National Provider Directory- Part of
- Rajnish Manohar DPM PA
Locations
601 Lithia Pinecrest Rd
Brandon, FL 33511
Phone (813) 782-3233
907 N Parsons Ave
Unit B
Brandon, FL 33510
Phone (813) 502-5904
21613 Village Lakes Shopping Ctr Dr
Land O Lakes, FL 34639
Phone (813) 948-9128
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Foot & Ankle Surgery Podiatrist
- Zephyrhills, FL
- NPI 1326058249
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Tampa, FL
- NPI 1073398954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675036800000",
"number": "1750097176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 LITHIA PINECREST RD",
"city": "BRANDON",
"state": "FL",
"postal_code": "335116114",
"telephone_number": "813-782-3233",
"fax_number": "813-502-5904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 LITHIA PINECREST RD",
"city": "BRANDON",
"state": "FL",
"postal_code": "335116114",
"telephone_number": "813-782-3233",
"fax_number": "813-502-5904"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENTLE FOOT CARE CLINIC, PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GENTLE FOOT CARE CLINIC, PA",
"enumeration_date": "2023-01-30",
"last_updated": "2023-01-30",
"certification_date": "2023-01-28",
"status": "A",
"authorized_official_last_name": "CRUZ",
"authorized_official_first_name": "JAIRO",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "813-782-3233",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME",
"identifier": "5157370001",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.