PALM TREE LOWER EXTREMITY, LLC (NPI# 1215439740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215439740 |
| Entity Type | Organization |
| Organization Name | PALM TREE LOWER EXTREMITY, LLC |
| Practice Address |
1919 Van Buren Street, #710 Hollywood FL 33020-7816 |
| Practice Telephone | 9739865926 |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2018-02-28 |
| Authorized Official Name | DR. ABIOLA J. OKI (OWNER) |
| Authorized Official Telephone | 9739735926 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
Podiatric Medicine & Surgery Service Providers | ||
| N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
Podiatric Medicine & Surgery Service Providers | ||
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| Street Address |
1919 VAN BUREN STREET, #710 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33020-7816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629694203 | Oaks Medical Group, LLC | Internal Medicine | 2854 Jackson St, Hollywood, FL 33020 | 2020-06-19 |
| 1487217949 | Yaneisy Correa Vento Sr. | Nurse Practitioner | 2700 E Hollywood Blud, Hollywood, FL 33020 | 2019-04-19 |
| 1811453590 | Sandra's Car Service LLC | Non-emergency Medical Transport (VAN) | 2048 Mckinley St. Bay #1, Hollywood, FL 33020 | 2019-02-18 |
| 1134605330 | Cruz Ines Diaz | Peer Specialist | 3400 N- 29th Avenue, Hollywood, FL 33020 | 2018-07-11 |
| 1598258451 | Brian Tran | Dentist | 1704 Stirling Rd., Hollywood, FL 33020 | 2018-06-14 |
| 1295223451 | Broward Treatment Center | Substance Abuse Rehabilitation Facility | 1101 S 21 Ave, Hollywood, FL 33020 | 2018-04-24 |
| 1033617220 | Laura Goldman | Psychologist | 2514 Hollywood Blvd Ste 404, Hollywood, FL 33020 | 2018-01-23 |
| 1205344835 | Sunshine Health Supplies LLC | Durable Medical Equipment & Medical Supplies | 1926 Hollywood Blvd Ste 204, Hollywood, FL 33020 | 2018-01-17 |
| 1124536222 | Melina Rodriguez | Counselor | 3400 N 29th Avenue, Hollywood, FL 33020 | 2018-01-11 |
| 1003337783 | Publix Super Markers, Inc | Durable Medical Equipment & Medical Supplies | 1776 Polk St., Hollywood, FL 33020 | 2017-07-03 |
| Find all providers in zip 33020 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881183432 | Cy Foot and Ankle Center LLC | Podiatrist | 1830 Radius Dr Apt 702, Hollywood, FL 33020-7711 | 2018-05-08 |
| 1376501379 | Harvard Podiatry | Podiatrist | 1150 N 35th Ave Ste 225, Hollywood, FL 33021-5424 | 2006-05-02 |
| 1477519338 | Bert J Henkel | Podiatrist | 4301 Hollywood Blvd, Hollywood, FL 33021-6634 | 2006-04-20 |
| 1427041300 | David Mafdali | Podiatrist | 1379 Harborview East, Hollywood, FL 33019-5054 | 2005-08-26 |
| 1891052346 | John Patrick Marion | Podiatrist | 3700 Washington St, Suite 403, Hollywood, FL 33021-8256 | 2012-04-20 |
| 1043588189 | Lauren Karger | Podiatrist | 200 S Park Rd Ste 200, Hollywood, FL 33021-8541 | 2011-12-04 |
| 1841514973 | Liliana Milena Heath | Podiatrist | 2525 Embassy Dr, Suite 4, Hollywood, FL 33026-4573 | 2010-03-18 |
| 1487983656 | Jaws Podiatry, Inc. | Podiatrist | 3700 Washington St, Suite 403, Hollywood, FL 33021-8256 | 2009-12-16 |
| 1104094044 | Harvard Podiatry | Podiatrist | 1150 N 35th Ave, Suite 225, Hollywood, FL 33021-5424 | 2008-02-13 |
| 1962683680 | Frank Busillo Dpm Pa Dba Taft Podiatry Associates | Podiatrist | 6888 Taft St, Hollywood, FL 33024-5657 | 2007-11-21 |
| Find all providers in HOLLYWOOD | ||||
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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.