South Florida Foot & Ankle Institute, LLC
Organization Active NPI Foot & Ankle Surgery Podiatrist · Homestead, FL
NPI 1922719715 · NPPES record last updated Dec 13, 2022
Key facts
- NPI
- 1922719715
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- Legal business name
- SOUTH FLORIDA FOOT & ANKLE INSTITUTE, LLC
- Practice address
- 1036 NW 1St Ave
Homestead, FL 33030-4417 - Phone
- (833) 735-3668
- Fax
- (866) 897-7014
- NPI assigned
- Dec 12, 2022
- Organization subpart
- No
Authorized official
- Name
- Peter H Hanna
- Title
- Ceo
- Phone
- (833) 735-3668
Other NPIs on the same Medicare enrollment 2
Corporate family (same tax ID) 2
Practitioners 3
-
Peter H Hanna, DPM
-
Luis Hernandez Rosado, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190619003406 | FL | Part B Supplier - Clinic/Group Practice | 9032443320 |
Receives reassigned benefits from 4 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Homestead, FL; Miami, FL |
National Provider Directory
- Tax ID family
- South Florida Foot Ankle Institute LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist |
213ES0103X | Yes |
Addresses
Primary practice location
1036 NW 1St Ave
Homestead, FL 33030-4417
Mailing address
8950 SW 74TH CT Ste 1408
Miami, FL 33156-3173
Phone (833) 735-3668
Other providers in Homestead, FL
- South Dade Medical Group LLP
- South Dade Orthopedic- Homestead
- South Dental Homestead
- South Florida Behavioral Community Center Inc
- South Florida Community Services LLC
- South Florida Home Medical Services LLC
- South Florida International Orthopaedics PA
- South Florida Mental Health & Recovery Inc
- South Florida Mental Health & Recovery Inc
- South Florida Mental Health & Recovery Inc
All providers in Homestead, 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 Dec 13, 2022. 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.