Organization Active NPI

Abboud Foot & Ankle Associates LLC

  • Foot & Ankle Surgery Podiatrist
  • Tampa, FL
National Provider Identifier
1861436693
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3233 Issued in FL
Legal business name
ABBOUD FOOT & ANKLE ASSOCIATES LLC
Practice address
509 S Armenia Ave
Suite 201
Tampa, FL 33609-3395
Phone
(727) 512-8815
NPI assigned
Jun 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mazen Abboud, D.P.M.
Title
Owner
Phone
(727) 512-8815

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO3233 FL Primary

Addresses

Primary practice location

509 S Armenia Ave
Suite 201
Tampa, FL 33609-3395

Mailing address

1983 Orange CT
Dunedin, FL 34698-9423

National Provider Directory

National Provider Directory

Locations

509 S Armenia Ave
Ste 201
Tampa, FL 33609
Phone (727) 512-8815

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861436693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1983 ORANGE CT",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346989423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 S ARMENIA AVE",
            "address_2": "SUITE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093395",
            "telephone_number": "727-512-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBOUD FOOT & ANKLE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABBOUD",
        "authorized_official_first_name": "MAZEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-512-8815",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.