Organization Active NPI

Absolute Podiatry Clinic, Inc.

  • Podiatrist
  • Orlando, FL
National Provider Identifier
1750570099
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO2625 Issued in FL
Legal business name
ABSOLUTE PODIATRY CLINIC, INC.
Practice address
15228 E Colonial Dr
Orlando, FL 32826-5134
Phone
(407) 568-9020
NPI assigned
Oct 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Authorized official

Name
Miss Victoria Elizabeth Goitz, D.P.M.NPI 1861681181
Title
President
Phone
(407) 568-9020

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 PO2625 FL Primary

Addresses

Primary practice location

15228 E Colonial Dr
Orlando, FL 32826-5134

Mailing address

PO Box 677970
Orlando, FL 32867-7970
Phone (407) 568-9020

Other identifiers 1

IdentifierTypeStateIssuer
K4840OtherFLMEDICARE GROUP IDENTIFICA

National Provider Directory

National Provider Directory

Locations

15228 E Colonial Dr
Orlando, FL 32826
Phone (407) 568-9020

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": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1750570099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 677970",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328677970",
            "telephone_number": "407-568-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15228 E COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328265134",
            "telephone_number": "407-568-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE PODIATRY CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "GOITZ",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-568-9020",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP IDENTIFICA",
            "identifier": "K4840",
            "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 Oct 23, 2007; 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.