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NPI Code Detail

MEDICARE: CORTEZ FOOT SURGERY CENTER, P.A.

MEDICARE: CORTEZ FOOT SURGERY CENTER, P.A.
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
1261QA1903XAmbulatory Surgical Clinic/Center1033FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1490001091OTHERFLRR MEDICARE INDIVIDUAL PROVIDER #

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CB2136OTHERFLRR GROUP PROVIDER #

General Provider Information

NPI Number : 1225077241
Entity Type Code : Organization
Provider Name (Legal Business Name) : CORTEZ FOOT SURGERY CENTER, P.A.
Provider Business Mailing Address
First Line : 1800 CORTEZ RD W
Second Line : SUITE B
City : BRADENTON
State : FL
Zip : 34207-1335
Country : US
Telephone Number : 941-758-4608
Fax Number : 941-758-4438
Provider Business Practice Location Address
First Line : 1800 CORTEZ RD W
Second Line : SUITE B
City : BRADENTON
State : FL
Zip : 34207-1335
Country : US
Telephone Number : 941-758-4608
Fax Number : 941-758-4438
Authorized Official
Title or Position : CREDENTIALING
Name : CARA L OLSON
Credential :
Telephone Number : 941-758-4608
Provider Enumeration Date : 06/05/2006
Last Update Date : 01/03/2020

Similar Medicare Providers

1609878594 — DR. GARRETT L HARTE DPM
Practice Location Address:
1800 CORTEZ RD W
BRADENTON, FL
34207-1335
Practice Phone: 941-758-8818
Practice Fax: 941-755-2901
1528060407 — DR. CHRISTOPHER J ADDISON DPM
Practice Location Address:
1800 CORTEZ RD W
BRADENTON, FL
34207-1335
Practice Phone: 941-758-8818
Practice Fax: 941-755-2901
1487656104 — DR. PHILIP J BALDINGER DPM
Practice Location Address:
1800 CORTEZ RD W
BRADENTON, FL
34207-1335
Practice Phone: 941-758-8818
Practice Fax: 941-755-2901
1588656169 — DR. RICHARD N BERKUN DPM
Practice Location Address:
1800 CORTEZ RD W
BRADENTON, FL
34207-1335
Practice Phone: 941-758-8818
Practice Fax: 941-755-2901
1215094776 — CORTEZ FOOT & ANKLE SPECIALISTS P.A.
Practice Location Address:
1800 CORTEZ RD W
BRADENTON, FL
34207-1335
Practice Phone: 941-758-8818
Practice Fax: 941-755-2901
1922158484 — MR. PABLO EDGARDO DER BOGHOSSIAN P.T.
Practice Location Address:
1800 CORTEZ RD W STE C
BRADENTON, FL
34207-1335
Practice Phone: 941-870-7473
Practice Fax: 941-870-4915

Directions to “CORTEZ FOOT SURGERY CENTER, P.A. ” Practice Location

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