Organization Active NPI

Center for Ankle & Foot Care Inc

  • Foot & Ankle Surgery Podiatrist
  • Clermont, FL
National Provider Identifier
1811032212
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3047 Issued in FL
Legal business name
CENTER FOR ANKLE & FOOT CARE INC
Practice address
3190 Citrus Tower Blvd Ste a
Clermont, FL 34711-6886
Phone
(352) 242-2502
Fax
(352) 242-0316
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Authorized official

Name
Timothy James HenneNPI 1215962709
Title
Vice President
Phone
(352) 242-2502

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO3047 FL Primary

Addresses

Primary practice location

3190 Citrus Tower Blvd Ste a
Clermont, FL 34711-6886

Mailing address

3190 Citrus Tower Blvd Ste a
Clermont, FL 34711-6886
Phone (352) 242-2502

Other practice location 1

305 S Childs St
Leesburg, FL 34748-5922
Phone (352) 242-2502

Other identifiers 1

IdentifierTypeStateIssuer
DA7690OtherFLRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071018000819 FL Part B Supplier - Clinic/Group Practice 8224124409 Receives reassigned benefits from 2 practitioners
Practice locations: Clermont, FL; Leesburg, FL

National Provider Directory

National Provider Directory

Locations

350 E Highway 50
Clermont, FL 34711
Phone (352) 242-2502

16920 S US Highway 441
Ste 104
Summerfield, FL 34491
Phone (352) 242-2502

1699 Mayo Dr
Tavares, FL 32778
Phone (352) 242-2502

2515 Dora Ave
Tavares, FL 32778
Phone (352) 242-2502

Practitioners & affiliated clinicians

Practitioners 3

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": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766102400000",
    "number": "1811032212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3190 CITRUS TOWER BLVD STE A",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116886",
            "telephone_number": "352-242-2502",
            "fax_number": "352-242-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 CITRUS TOWER BLVD STE A",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116886",
            "telephone_number": "352-242-2502",
            "fax_number": "352-242-0316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 S Childs St",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347485922",
            "country_code": "US",
            "telephone_number": "352-242-2502",
            "fax_number": "352-242-0316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTER FOR ANKLE & FOOT CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A",
        "authorized_official_last_name": "HENNE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "352-242-2502"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA7690",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; 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.