Flamingo Foot and Ankle PA

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

FLAMINGO FOOT AND ANKLE PA

Practice address

4801 N Federal Hwy Ste 101
Fort Lauderdale, FL 33308-4618

Phone

(954) 594-2610

NPI assigned

Dec 9, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Stephanie Tine, DPMNPI 1326692781

Title

Founder and Ceo

Phone

(754) 206-4753

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Practitioners 4

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

• Stephanie Tine, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fort Lauderdale, FL
  • NPI 1326692781

  FL, Foot & Ankle Surgery

  Medicare reassignment NPD Authorized official
• Jonathan Scott Levine, M.D.

  • Surgery Physician
  • Fort Lauderdale, FL
  • NPI 1548283393
  NPD (past)
• Kayla Lynn Ventura, PA-C

  • Physician Assistant
  • Boca Raton, FL
  • NPI 1972088706
  NPD (past)
• Leandra Bibiana Bazan, PA-C, MT

  • Physician Assistant
  • Greeley, CO
  • NPI 1407947286
  NPD (past)

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

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1760193825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 NE 41ST ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085801",
            "telephone_number": "954-594-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 N FEDERAL HWY STE 101",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084618",
            "telephone_number": "954-594-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAMINGO FOOT AND ANKLE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-09",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "TINE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "FOUNDER AND CEO",
        "authorized_official_telephone_number": "754-206-4753",
        "authorized_official_name_prefix": "Dr.",
        "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": [],
    "endpoints": [],
    "other_names": []
}

• Norma Jeanne Flack, D.O.
• Yousef Flafil, DPT
• Flagler Diagnostic & Sleeping Disorder, Inc, Inc
• Flagler Diagnostic and Sleeping Disorder, Inc.
• Flagler Diagnostic and Sleeping Disorder, Inc.
• Kent Peter Flanagan, AU.D.
• William S Fleisher, OD
• Douglas Flemons, PH.D.
• Amanda Fletcher, MS, ATC, LAT
• James W Fletcher, MD

• All providers in Fort Lauderdale, FL
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.