Healthcare Provider Details
I. General information
NPI: 1437986981
Provider Name (Legal Business Name): CARING TOUCH PODIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/18/2024
Last Update Date: 09/18/2024
Certification Date: 09/18/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
150 S PINE ISLAND RD STE 300
PLANTATION FL
33324-2665
US
IV. Provider business mailing address
150 S PINE ISLAND RD STE 300
PLANTATION FL
33324-2665
US
V. Phone/Fax
- Phone: 954-731-0028
- Fax: 954-731-0288
- Phone: 954-731-0028
- Fax: 954-731-0288
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 213EP1101X |
| Taxonomy | Primary Podiatric Medicine Podiatrist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 213ES0000X |
| Taxonomy | Sports Medicine Podiatrist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 213ES0103X |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213E00000X |
| Taxonomy | Podiatrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
PATRICE
MECHELLE
TORRENCE
Title or Position: MANAGER
Credential: DPM
Phone: 954-261-2085