Healthcare Provider Details

I. General information

NPI: 1750296174
Provider Name (Legal Business Name): LOWER LIMB INSTITUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1233 SE INDIAN ST STE 102
STUART FL
34997-5689
US

IV. Provider business mailing address

1233 SE INDIAN ST STE 102
STUART FL
34997-5689
US

V. Phone/Fax

Practice location:
  • Phone: 772-223-8313
  • Fax:
Mailing address:
  • Phone: 772-223-8313
  • Fax: 772-223-8675

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: CRISTINA BARGAN MCCAIN
Title or Position: MANAGER
Credential:
Phone: 469-449-8822