Advanced Foot & Ankle of Central Florida
Organization Active NPI Foot & Ankle Surgery Podiatrist · Ocoee, FL
NPI 1861646002 · NPPES record last updated Apr 6, 2012
Key facts
- NPI
- 1861646002
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- Legal business name
- ADVANCED FOOT & ANKLE OF CENTRAL FLORIDA
- Practice address
- 1140 Kelton Ave
BLDG #3
Ocoee, FL 34761-3175 - Phone
- (407) 521-7999
- Fax
- (407) 521-2227
- NPI assigned
- Nov 14, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Nick Ashok Mahavir, D.P.M.
- Title
- Owner/Podiatrist
- Phone
- (407) 521-7999
Practitioners 1
-
Nick Ashok Mahavir, DPM
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090611000129 | FL | Part B Supplier - Clinic/Group Practice | 2567512643 |
Receives reassigned benefits from 1 practitioner Practice locations: Ocoee, FL |
National Provider Directory
Locations
1140 Kelton Ave
Bldg 3
Ocoee, FL 34761
Phone (407) 521-7999
1140 Kelton Ave
#3
Ocoee, FL 34761
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist |
213ES0103X | Yes |
Addresses
Primary practice location
1140 Kelton Ave
BLDG #3
Ocoee, FL 34761-3175
Mailing address
1140 Kelton Ave
BLDG #3
Ocoee, FL 34761-3175
Phone (407) 521-7999
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- Mark Addonizio
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- Adnan a Khan MD LLC
- Advanced Dental Care Ocoee PL
- Advanced Interventional Pain Clinic, LLC
- Advanced Urology of Central Florida, PA
- Adventist Health System /Sunbelt, Inc.
- Adventist Health System Sunbelt, Inc
- Adya LLC
All providers in Ocoee, 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 Apr 6, 2012. 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.