Faragalla Foot Care LLC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

PO3803 Issued in FL

Legal business name

FARAGALLA FOOT CARE LLC

Practice address

2105 Manatee Ave E
Bradenton, FL 34208-1640

Phone

(551) 655-4146

NPI assigned

Mar 13, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Wassem FaragallaNPI 1598103905

Title

DPM

Phone

(551) 655-4146

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wassem E Faragalla, DPM

  • Foot Surgery Podiatrist
  • Clearwater, FL
  • NPI 1598103905
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521504000000",
    "number": "1750822565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11416 GRAMERCY PARK AVE",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342118459",
            "telephone_number": "551-655-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 MANATEE AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081640",
            "telephone_number": "551-655-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARAGALLA FOOT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-13",
        "last_updated": "2018-03-20",
        "status": "A",
        "authorized_official_last_name": "FARAGALLA",
        "authorized_official_first_name": "WASSEM",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "551-655-4146",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO3803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Medical Care LLC
• Family Smile Dentistry P.a.
• Family Smile Dentistry P.a.
• Jessica Fanning
• Ahlam Faqqouseh
• Susan Farhat, LMT
• Mark Garret Farinas, PT
• Gregory C Farino, MD
• Rana Omer Farman, M.B.B.S
• Jeffrey W. Farmer, M.D.

• Foot Surgery Podiatrist in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Foot Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.