FARAGALLA FOOT CARE LLC (NPI# 1750822565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750822565 |
Entity Type | Organization |
Organization Name | FARAGALLA FOOT CARE LLC |
Practice Address |
2105 Manatee Ave E Bradenton FL 34208-1640 |
Mailing Address |
11416 Gramercy Park Ave Bradenton FL 34211-8459 |
Practice Telephone | 5516554146 |
Mailing Telephone | 5516554146 |
Enumeration Date | 2017-03-13 |
Last Update Date | 2018-03-20 |
Authorized Official Name | DR. WASSEM FARAGALLA (DPM) |
Authorized Official Telephone | 5516554146 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
PO3803 | FL | Podiatric Medicine & Surgery Service Providers |
Street Address |
2105 MANATEE AVE E |
City | BRADENTON |
State | FL |
Zip Code | 34208-1640 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831165281 | John R Ayres | Orthopaedic Surgery | 2105 Manatee Ave E, Bradenton, FL 34208-1640 | 2006-02-27 |
1437110236 | Roberto J. Ycaza | Pain Medicine | 2105 Manatee Ave E, Bradenton, FL 34208-1640 | 2006-03-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740880566 | Michael Gerard Kulikowski | Pharmacist | 6225 E Sr 64, Bradenton, FL 34208 | 2020-10-30 |
1104431964 | Genesis Carrillo | Pharmacist | 4210 E, Fl-64, Bradenton, FL 34208 | 2020-09-09 |
1962960146 | Elite Surgery Center, LLC | Plastic Surgery | 5301 4th Ave Circle E, Bradenton, FL 34208 | 2019-03-07 |
1740777101 | Chinelo Uche | Student in an Organized Health Care Education/Training Program | 206 2nd St. E, Brandenton, FL 34208 | 2018-04-20 |
1396240040 | Nicholas Guy Ross | Student in an Organized Health Care Education/Training Program | 206 2nd St E., Bradenton, FL 34208 | 2018-03-26 |
1881196566 | Pinnacle Dental, Inc | Dentist | 5220 4th Ave. Circle E., Bradenton, FL 34208 | 2018-03-08 |
1194240176 | Bradenton Community Acupuncture | Acupuncturist | 5245 Office Park Blvd Suite 103, Bradenton, FL 34208 | 2017-08-10 |
1316490147 | Loretta Michele Deloach | Counselor | 515 27th St. S., Ste. 3, Bradenton, FL 34208 | 2016-07-28 |
1730548934 | Elodie Chimuanya Epane Kamdem | Dentist | Bright Now Dentalst, 650, 3611 1st Street, Suiyr, Bradenton, FL 34208 | 2016-02-16 |
1215303920 | Lesley Ann White | Driver | 45 Palmwood, Bradenton, FL 34208 | 2015-08-17 |
Find all providers in zip 34208 |
Taxonomy Code | 213ES0131X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881918266 | Cortez Foot & Ankle Specialists, Pa | Podiatrist | 315 75th St W, Bradenton, FL 34209-3201 | 2010-03-15 |
1124276373 | Limons Foot & Ankle Care Inc | Podiatrist | 4614 26th St W, Bradenton, FL 34207 | 2008-08-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487264826 | Upperline Healthcare, PC | Podiatrist | 819 E Oak St Ste B, Kissimmee, FL 34744-5842 | 2020-07-31 |
1801406236 | Upperline Healthcare, PC | Podiatrist | 499 E Central Pkwy Ste 120, Altamonte Springs, FL 32701-3449 | 2020-07-31 |
1841800281 | Upperline Healthcare, PC | Podiatrist | 7148 Curry Ford Rd Ste 300, Orlando, FL 32822-5803 | 2020-07-31 |
1497365829 | Upperline Healthcare, PC | Podiatrist | 6000 Turkey Lake Rd Ste 108, Orlando, FL 32819-4205 | 2020-07-31 |
1427668854 | Upperline Healthcare, PC | Podiatrist | 1381 Citrus Tower Blvd Ste 103, Clermont, FL 34711-1957 | 2020-07-31 |
1639654148 | Kenneth Shapiro | Podiatrist | 7209 Promenade Dr Apt 601, Boca Raton, FL 33433-2809 | 2018-10-01 |
1558872549 | Edward Nathan Szerlip | Podiatrist | 11960 Northwest 26 Street, Plantation, FL 33323-3332 | 2017-10-17 |
1174903686 | Maria Lilia Fundora Cabrera | Podiatrist | 1380 Ne Miami Gardens Dr 209, Miami, FL 33179-4709 | 2015-06-01 |
1285027599 | Naples Podiatry | Podiatrist | 4763 Tamiami Trail North, Naples, FL 34103 | 2015-03-11 |
1548667314 | Louis Joseph Falletta | Podiatrist | 410 Se 28th Ave, Pompano Beach, FL 33062-6130 | 2014-11-22 |
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.