FOOT AND ANKLE CENTERS OF CHARLOTTE COUNTY PA (NPI# 1013068709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013068709 |
Entity Type | Organization |
Organization Name | FOOT AND ANKLE CENTERS OF CHARLOTTE COUNTY PA |
Practice Address |
352 Milus St Punta Gorda FL 33950-4552 |
Mailing Address |
Po Box 511269 Punta Gorda FL 33951-1269 |
Practice Telephone | 9416390025 |
Practice Fax Number | 9413747271 |
Mailing Telephone | 9416390025 |
Mailing Fax Number | 9413477271 |
Enumeration Date | 2007-01-16 |
Last Update Date | 2010-04-09 |
Authorized Official Name | DR. SAMIR S VAKIL (PRESIDENT) |
Authorized Official Telephone | 9416390025 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
PO002258 | FL | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CLIA | 10D0294527 | 01 |
Street Address |
352 MILUS ST |
City | PUNTA GORDA |
State | FL |
Zip Code | 33950-4552 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669468229 | Samir S Vakil | Podiatrist | 352 Milus St, Punta Gorda, FL 33950-4552 | 2005-09-20 |
1801280862 | Tanika Rae-ann Harlis | Podiatrist | 352 Milus St, Punta Gorda, FL 33950-4552 | 2015-03-26 |
1841528445 | Foot & Ankle Centers of Charlotte County | Podiatrist | 352 Milus St, Punta Gorda, FL 33950-4552 | 2009-11-20 |
1184885691 | Arlo H Yaege | Podiatrist | 352 Milus St, Foot and Ankle Center of Charlotte County, Punta Gorda, FL 33950-4552 | 2008-06-18 |
1942296959 | Andre M Williams | Podiatrist | 352 Milus St, Punta Gorda, FL 33950-4552 | 2005-09-26 |
1164418141 | Pamela J Humpel | Podiatrist | 352 Milus St, Punta Gorda, FL 33950-4552 | 2005-09-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295291979 | Kristin Wilson | Nurse Practitioner | 350 E Olympia Ave, Suite 111, Punta Gorda, FL 33950 | 2019-02-18 |
1750856993 | Medical Risk Solutions | Family Medicine | 514 East Grace Street, Punta Gorda, FL 33950 | 2018-10-03 |
1457858607 | Janet Miller Dawson | Nurse Practitioner | Charlotte Behavioral Health Care, 1700 Education Avenue, Punta Gorda, FL 33950 | 2018-04-12 |
1730689290 | Suncoast Neuropsychiatric Wellness Center LLC | Psychiatry & Neurology | 25097 E Olympia Ave, #200, Punta Gorda, FL 33950 | 2018-02-20 |
1306351424 | Laura Cara Carlisle | Developmental Therapist | 2440 W Marion Ave, Punta Gorda, FL 33950 | 2017-12-12 |
1629591722 | Rachel Guyton Irias | Behavior Technician | 321 W Grace St, Punta Gorda, FL 33950 | 2017-07-20 |
1730636713 | William Bartley Hoke | Specialist/Technologist | 733 E.oympia Ave, Punta Gorda, FL 33950 | 2016-09-07 |
1861868770 | Jason Burns | Physical Therapist | 3857 Acline Rd Unit 107, Punta Gorda, FL 33950 | 2015-08-14 |
1073935409 | Heather Lynn Darmetko | Nurse Practitioner | 713 E. Marion Ave. 1211 Suite 1211, Punta Gorda, FL 33950 | 2014-01-21 |
1568706380 | Steven Michael Byrne | Nurse Practitioner | 2310 Tamiami Trail, Suite 2101, Punta Gorda, FL 33950 | 2012-11-16 |
Find all providers in zip 33950 |
Taxonomy Code | 213EP1101X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Primary Podiatric Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801280862 | Tanika Rae-ann Harlis | Podiatrist | 352 Milus St, Punta Gorda, FL 33950-4552 | 2015-03-26 |
1841528445 | Foot & Ankle Centers of Charlotte County | Podiatrist | 352 Milus St, Punta Gorda, FL 33950-4552 | 2009-11-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912531286 | Samuel S Woociker Dpm Pa | Podiatrist | 445 Warrior Trl, Enterprise, FL 32725-2456 | 2020-02-26 |
1467090639 | Ankle Foot and Leg Centers Inc. | Podiatrist | 3075 Chestnut Ridge Way, Orange Park, FL 32065-3629 | 2019-12-18 |
1396205423 | Scott Jeffry Blutstein | Podiatrist | 10578 Sw Capraia Way, Port St Lucie, FL 34986-2885 | 2019-03-24 |
1265968929 | Northeast Florida Endocrine & Diabetes Associates, Pa | Podiatrist | 11236 Baptist Health Dr, Suite 340, Jacksonville, FL 32218-2980 | 2017-05-02 |
1184163784 | Patrick Dennis Martyka | Podiatrist | 4631 Nw 5th Ave, Oakland Park, FL 33309-4002 | 2017-02-15 |
1700237799 | Rebecca Desimone | Podiatrist | 6405 N Federal Hwy Ste 405, Ft Lauderdale, FL 33308-1414 | 2016-06-30 |
1326403585 | Gentle Care Podiatry, LLC | Podiatrist | 8450 Gate Pkwy W, Unit 1504, Jacksonville, FL 32216-1049 | 2015-12-15 |
1528441904 | Zain Barnouti | Podiatrist | 9310 Old Kings S Rd 1201, Jacksonville, FL 32257-6196 | 2015-07-03 |
1790188514 | George Zislis | Podiatrist | 1300 Moffett St Apt 201, Hallandale Beach, FL 33009-2718 | 2014-10-07 |
1639411648 | Robert George Smith | Podiatrist | 723 Lucerne Cir, Ormond Beach, FL 32174-4624 | 2013-03-18 |
Find all providers with the same taxonomy |
City | PUNTA GORDA |
Zip Code | 33950 |
Please comment or provide details below to improve the information on FOOT AND ANKLE CENTERS OF CHARLOTTE COUNTY PA.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.