Florida Podiatry Center LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO3538 Issued in FL

Legal business name

FLORIDA PODIATRY CENTER LLC

Practice address

11549 NW 62ND Ter
Unit 435
Doral, FL 33178-2894

Phone

(786) 348-1751

Fax

(305) 639-8816

NPI assigned

Feb 29, 2012

Organization subpart

No

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

Authorized official

Name

Sophia K Masri, DPMNPI 1639308166

Title

Owner

Phone

(786) 348-1751

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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

• Sophia Masri, PT, DPM, MBA

  • Podiatrist
  • Key Largo, FL
  • NPI 1639308166
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1780958397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11549 NW 62ND TER",
            "address_2": "UNIT 435",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782894",
            "telephone_number": "786-348-1751",
            "fax_number": "305-639-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11549 NW 62ND TER",
            "address_2": "UNIT 435",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782894",
            "telephone_number": "786-348-1751",
            "fax_number": "305-639-8816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA PODIATRY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-29",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "MASRI",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-348-1751",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Doral, FL
• Providers in Doral, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.