Surgical Foot Specialities P.a.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO3674 Issued in FL

Legal business name

SURGICAL FOOT SPECIALITIES P.A.

Practice address

8190 Royal Palm Blvd Ste 203
Coral Springs, FL 33065-5706

Phone

(954) 346-5077

NPI assigned

Jul 11, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Deryck Romeo Fernandez, DPMNPI 1639463086

Title

President

Phone

(954) 346-5077

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Deryck Romeo Fernandez, DPM

  • Foot & Ankle Surgery Podiatrist
  • Coral Springs, FL
  • NPI 1639463086
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405036800000",
    "number": "1861808784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8190 ROYAL PALM BLVD STE 203",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655706",
            "telephone_number": "954-346-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8190 ROYAL PALM BLVD STE 203",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655706",
            "telephone_number": "954-346-5077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL FOOT SPECIALITIES P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-11",
        "last_updated": "2014-07-11",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "DERYCK",
        "authorized_official_middle_name": "ROMEO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-346-5077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunshine Assisted Living, Inc
• Larae Supapo
• Superior Care Inc.
• Superior Care Inc.
• Suremed Corp
• Surgical Treatment Center, LLC
• Susan Glatzer LCSW Inc.
• Savanah Sutters
• Kimberly Patricia Sutton, PTA #19846
• Swaanne Holdings, LLC

• Foot & Ankle Surgery Podiatrist in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; 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.