DUNNELLON PODIATRY CENTER P A (NPI# 1194742148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194742148 |
| Entity Type | Organization |
| Organization Name | DUNNELLON PODIATRY CENTER P A |
| Practice Address |
11786 Cedar Street Dunnellon Podiatry Center Pa Dunnellon FL 34431 |
| Mailing Address |
Po Box 2633 Dunnellon Podiatry Center Pa Dunnellon FL 34430 |
| Practice Telephone | 3524896621 |
| Practice Fax Number | 3524896920 |
| Mailing Telephone | 3524896621 |
| Mailing Fax Number | 3524896920 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2007-12-12 |
| Authorized Official Name | STACY LYNN WITFILL (OWNER PODIATRIST) |
| Authorized Official Telephone | 3524896621 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | P02759 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 65619 | 01 |
| Street Address |
11786 CEDAR STREET DUNNELLON PODIATRY CENTER PA |
| City | DUNNELLON |
| State | FL |
| Zip Code | 34431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245529809 | Sally-louise Aalto | Massage Therapist | 8820 Sw 211 Circle, Dunnellon, FL 34431 | 2011-04-05 |
| 1316158777 | Brian Eugene Peterson | Physical Therapy Assistant | 12139 S. Williams St, Dunellon, FL 34431 | 2007-05-25 |
| 1356483010 | Mark Edward Hampton | Dentist | 11902 Illinois St., Dunnellon, FL 34431 | 2007-02-12 |
| 1902117716 | Patti Sue Osborne | Nurse Practitioner | 20661 Ned Love Ave, Dunnellon, FL 34431 | 2010-06-25 |
| 1154311868 | Armelle Guiteau Osias | Nurse Practitioner | 21840 Sw 1st St, Dunnellon, FL 34431-1641 | 2005-10-24 |
| 1073985537 | Armelle G Cleophat Phd Arnp-bc | Clinic/Center | 21840 Sw 1st St, Dunnellon, FL 34431-1641 | 2015-10-23 |
| 1245746387 | Brandi Sones | Licensed Practical Nurse | 1395 Sw Obee Ridge Rd, Dunnellon, FL 34431-2679 | 2017-12-27 |
| 1598381667 | Peter Simon | Specialist/Technologist, Other | 3505 Sw Soundview Dr, Dunnellon, FL 34431-3172 | 2020-06-24 |
| 1700426715 | Dunnellon Taxi and Car Service LLC | Non-emergency Medical Transport (VAN) | 22909 Sw Marine Blvd, Dunnellon, FL 34431-3252 | 2020-01-08 |
| 1275173288 | Jacqueline Anna Abbondolo | Non-emergency Medical Transport (VAN) | 22909 Sw Marine Blvd, Dunnellon, FL 34431-3252 | 2020-01-08 |
| Find all providers in zip 34431 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285815647 | Stacy Lynn Witfill | Podiatrist | 11786 Cedar St, Dunnellon, FL 34431-6770 | 2007-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295079 | Pardee Foot Clinic | Podiatrist | 1808 W International Speedway Blvd Ste 304a, Daytona Beach, FL 32114-1227 | 2020-11-04 |
| 1699393546 | Michael C. Flatley, Dpm, Pa | Podiatrist | 674 Barrington Cir, Winter Springs, FL 32708-6115 | 2020-07-08 |
| 1649895822 | Fred E Gatiher II Dpm | Podiatrist | 2 Miracle Strip Loop Ste 3, Panama City Beach, FL 32407-8412 | 2020-06-12 |
| 1780204602 | Pinnacle Foot and Ankle Centers, LLC | Podiatrist | 1801 Se Hillmoor Dr Ste A-103, Port St Lucie, FL 34952-7545 | 2020-04-21 |
| 1265081632 | Family Podiatry of Central Florida Pa | Podiatrist | 450 W Central Pkwy Fl 2, Altamonte Springs, FL 32714-2436 | 2019-09-09 |
| 1184270183 | Stephen F Levin Dpm Pa | Podiatrist | 4202 W Waters Ave Ste 6, Tampa, FL 33614-1972 | 2019-08-15 |
| 1861045155 | Olupona Foot and Ankle, LLC | Podiatrist | 1600 Nw 17th Ave, Miami, FL 33125-2327 | 2019-07-17 |
| 1356993398 | Gary Barbosa | Podiatrist | 3182 Edgemoore Drive, Palm Harbor, FL 34685 | 2019-07-10 |
| 1982262358 | Foot and Ankle Network | Podiatrist | 8323 Nw 12th St Ste 204, Doral, FL 33126-1840 | 2019-05-31 |
| 1750845491 | Gentle Touch Podiatric Care Pa | Podiatrist | 100 Golden Isles Dr Apt 610, Hallandale Beach, FL 33009-5824 | 2019-01-28 |
| Find all providers with the same taxonomy | ||||
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| 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.