Healthcare Provider Details

I. General information

NPI: 1760346480
Provider Name (Legal Business Name): APEX PODIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2397 GRATIA PL
CASSELBERRY FL
32707-2407
US

IV. Provider business mailing address

1065 E STATE ROAD 434
WINTER SPRINGS FL
32719-8101
US

V. Phone/Fax

Practice location:
  • Phone: 407-214-7339
  • Fax: 407-214-7339
Mailing address:
  • Phone: 407-214-7339
  • Fax: 407-214-7339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. TIMOTHY GRAESER
Title or Position: OWNER
Credential: DPM
Phone: 407-280-6039