Healthcare Provider Details

I. General information

NPI: 1023015658
Provider Name (Legal Business Name): LAWRENCE J. KALES DPM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2005
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7515 SR 52 STE 101
HUDSON FL
34667
US

IV. Provider business mailing address

7515 SR 52 STE 101
HUDSON FL
34667
US

V. Phone/Fax

Practice location:
  • Phone: 727-868-2128
  • Fax: 727-868-7491
Mailing address:
  • Phone: 727-868-2128
  • Fax: 727-868-7491

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberPO 1074
License Number StateFL

VIII. Authorized Official

Name: DR. LAWRENCE J KALES
Title or Position: PRESIDENT
Credential: DPM
Phone: 727-868-2128