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NPI Code Detail

MEDICARE: THE FOOT & ANKLE INSTITUTE OF SOUTH FLORIDA, INC

MEDICARE: THE FOOT & ANKLE INSTITUTE OF SOUTH FLORIDA, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatristPO1940FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15630OTHERFLMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
245674OTHERFLBCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780638361
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE FOOT & ANKLE INSTITUTE OF SOUTH FLORIDA, INC
Provider Business Mailing Address
First Line : 7001 SW 61ST AVE
Second Line :
City : SOUTH MIAMI
State : FL
Zip : 33143-3420
Country : US
Telephone Number : 305-662-1444
Fax Number : 305-667-6086
Provider Business Practice Location Address
First Line : 7001 SW 61ST AVE
Second Line :
City : SOUTH MIAMI
State : FL
Zip : 33143-3420
Country : US
Telephone Number : 305-662-1444
Fax Number : 305-667-6086
Authorized Official
Title or Position : PRESIDENT
Name : MANUEL RODRIGUEZ
Credential : DPM
Telephone Number : 305-662-1444
Provider Enumeration Date : 05/19/2006
Last Update Date : 01/20/2025

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Directions to “THE FOOT & ANKLE INSTITUTE OF SOUTH FLORIDA, INC ” Practice Location

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