Healthcare Provider Details

I. General information

NPI: 1588534648
Provider Name (Legal Business Name): HAPPY FEET WPB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2025
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6447 LAKE WORTH RD
GREENACRES FL
33463-3007
US

IV. Provider business mailing address

6447 LAKE WORTH RD
GREENACRES FL
33463-3007
US

V. Phone/Fax

Practice location:
  • Phone: 561-433-1700
  • Fax:
Mailing address:
  • Phone: 561-593-3550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: LAYLAH JAVED
Title or Position: DPM
Credential: DPM
Phone: 561-389-4387