Organization Active NPI

Gentle Foot Care Clinic, PA

  • Foot & Ankle Surgery Podiatrist
  • Brandon, FL
National Provider Identifier
1750097176
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
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, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Authorized official

Name
Jairo B Cruz, DPMNPI 1609163153
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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
5157370001OtherFLDME

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.

Practitioners & affiliated clinicians

Practitioners 3

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": "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.

Verify at the official NPI Registry.