Ankle & Foot Centre of S Florida PA
Organization Active NPI Foot & Ankle Surgery Podiatrist · Loxahatchee, FL
NPI 1760495162 · NPPES record last updated Jan 9, 2013
Key facts
- NPI
- 1760495162
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- Legal business name
- ANKLE & FOOT CENTRE OF S FLORIDA PA
- Practice address
- 13005 Southern Blvd
Suite 225
Loxahatchee, FL 33470-9272 - Phone
- (561) 798-0900
- Fax
- (561) 798-1121
- NPI assigned
- Aug 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Jeffrey Blank, D.P.M.
- Title
- Owner
- Phone
- (561) 798-0900
Practitioners 1
-
Dorothy Blank, D.P.M.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050331000471 | FL | Part B Supplier - Clinic/Group Practice | 4183671332 |
Receives reassigned benefits from 1 practitioner Practice locations: Loxahatchee, FL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist |
213ES0103X | Yes |
Addresses
Primary practice location
13005 Southern Blvd
Suite 225
Loxahatchee, FL 33470-9272
Mailing address
13005 Southern Blvd
Suite 225
Loxahatchee, FL 33470-9272
Phone (561) 798-0900
Other providers in Loxahatchee, FL
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- Lawrence S Amesse
- Ana Luisa T-Y Safra MD, LLC
- Roslyn J Andrade
- Anew Mind Body Connect LLC
- Apollo Medical Management
- Amy Zaron Aqua
- Archer Health and Wellness, LLC
- Kristin Archer
- Shaniquea Nayouka a Archer
All providers in Loxahatchee, FL · Foot & Ankle Surgery Podiatrist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.