Miami Podiatry LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

MIAMI PODIATRY LLC

Practice address

3959 S Nova Rd
Building B Suite 25
Port Orange, FL 32127-9278

Phone

(786) 277-8612

Fax

(386) 236-9006

NPI assigned

Oct 22, 2010

Organization subpart

No

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

Authorized official

Name

Laura B Burke

Title

MCC

Phone

(786) 227-0062

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307318400000",
    "number": "1871893057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3959 S NOVA RD",
            "address_2": "BUILDING B SUITE 25",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321279278",
            "telephone_number": "786-277-8612",
            "fax_number": "386-236-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 S NOVA RD",
            "address_2": "BUILDING B SUITE 25",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321279278",
            "telephone_number": "786-277-8612",
            "fax_number": "386-236-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2011-06-06",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MCC",
        "authorized_official_telephone_number": "786-227-0062"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maged Ahmed Abdel Raouf Metwally
• Brittni Meyer
• Meredith Reid Meyers, DC
• Robert Dowler Meyers, ARNP
• MHC III
• Albert M Michael, M.D.
• Kyle John Michalski, DPT
• Michel C. Samson, M.D., F.a.C.S., PLLC
• Meghan Mielke
• Cayla Milford, PA-C

• Podiatrist in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; 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.