Hollywood Coral Springs Podiatry PA

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

HOLLYWOOD CORAL SPRINGS PODIATRY PA

Practice address

8116 Wiles Road
Coral Springs, FL 33067

Phone

(954) 989-8850

Fax

(954) 989-3431

NPI assigned

Jun 15, 2006

Organization subpart

No

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

Authorized official

Name

David D Clendenning, DPM

Title

President

Phone

(954) 753-6766

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272326400000",
    "number": "1992749501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8116 WILES RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "33067",
            "telephone_number": "954-753-6766",
            "fax_number": "954-753-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8116 WILES ROAD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "33067",
            "telephone_number": "954-989-8850",
            "fax_number": "954-989-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYWOOD CORAL SPRINGS PODIATRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2010-04-27",
        "status": "A",
        "authorized_official_last_name": "CLENDENNING",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-753-6766",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPPLIER NSC",
            "identifier": "5738410002",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPPLIER NSC",
            "identifier": "5738410001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holiverse, Inc.
• Marcia Hollander
• Reuben Council Holliman Jr., RMHCI
• Abraham O Hollist
• Christopher Philip Hollowell, MD
• Jada Holmes, NCC
• Wanda Alisa Holmes, APRN
• Christopher Holness
• Holy Cross Primary Care, Inc
• Holy Cross Primary Care, Inc

• Podiatrist in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.