MEDICARE: FOOT AND ANKLE CENTER OF OCALA PA

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
2	332B00000X	Durable Medical Equipment & Medical Supplies	PO-0002122	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DN3592	OTHER	FL	RAILROAD MEDICARE

General Provider Information

NPI Number	:	1053596197
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOOT AND ANKLE CENTER OF OCALA PA

Provider Business Mailing Address
First Line	:	6160 SW HIGHWAY 200
Second Line	:	SUITE 100
City	:	OCALA
State	:	FL
Zip	:	34476-8307
Country	:	US
Telephone Number	:	352-861-1055
Fax Number	:	352-854-6743

Provider Business Practice Location Address
First Line	:	6160 SW HIGHWAY 200
Second Line	:	SUITE 100
City	:	OCALA
State	:	FL
Zip	:	34476-8307
Country	:	US
Telephone Number	:	352-861-1055
Fax Number	:	352-854-6743

Authorized Official
Title or Position	:	OWNER
Name	:	ROBERT F LINN JR.
Credential	:	D.P.M.
Telephone Number	:	352-861-1055

Provider Enumeration Date	:	01/08/2008
Last Update Date	:	07/26/2011

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Directions to “FOOT AND ANKLE CENTER OF OCALA PA ” Practice Location

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