MEDICARE: ACADEMIA FOOT & ANKLE ASSOCIATES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist

General Provider Information

NPI Number	:	1033379318
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACADEMIA FOOT & ANKLE ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	301 NE 167TH ST
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-2304
Country	:	US
Telephone Number	:	305-940-0522
Fax Number	:	305-653-1138

Provider Business Practice Location Address
First Line	:	301 NE 167TH ST
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-2304
Country	:	US
Telephone Number	:	305-940-0522
Fax Number	:	305-653-1138

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	DR. JIM FRANCOIS
Credential	:	DPM
Telephone Number	:	954-668-9083

Provider Enumeration Date	:	06/11/2008
Last Update Date	:	05/28/2010

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