MEDICARE: HARVARD PODIATRY

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	PO2030	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	C14827	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	21806	OTHER	FL	BLUE CROSS BLUE SHIELD
3	6709969	OTHER	FL	CIGNA
4	6200300	OTHER	FL	GHI
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376501379
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARVARD PODIATRY

Provider Business Mailing Address
First Line	:	1150 N 35TH AVE STE 225
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-5424
Country	:	US
Telephone Number	:	954-433-9887
Fax Number	:	954-431-8199

Provider Business Practice Location Address
First Line	:	4430 SHERIDAN ST STE A
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-3546
Country	:	US
Telephone Number	:	954-433-9887
Fax Number	:	954-431-8199

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. KENNETH A SABACINSKI
Credential	:	DPM
Telephone Number	:	954-966-7770

Provider Enumeration Date	:	05/02/2006
Last Update Date	:	02/23/2026

Similar Medicare Providers

1104094044 — HARVARD PODIATRY
Practice Location Address:

4430 SHERIDAN ST STE A
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33021-3546

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1609214543 — CHRISTOPHER P TVETER DPM
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1508928003 — DR. MARCY BERNSTEIN MD
Practice Location Address:

4430 SHERIDAN ST , SUITE B
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1366564726 — JOSHUA Z STEINER DO PA
Practice Location Address:

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1285840900 — HOLLYWOOD PEDIATRICS, P.A.
Practice Location Address:

4430 SHERIDAN ST , SUITE B
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Practice Fax:

1568791457 — DR. MARLON DAVID GILBERT M.D.
Practice Location Address:

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Directions to “HARVARD PODIATRY ” Practice Location

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