MEDICARE: LAYLAH JAVED DPM

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	213ES0000X	Sports Medicine Podiatrist	PO4704	FL
2	213ES0131X	Foot Surgery Podiatrist	PO4704	FL
3	213EP1101X	Primary Podiatric Medicine Podiatrist	PO4704	FL
4	213E00000X	Podiatrist	PO4704	FL
5	213ER0200X	Radiology Podiatrist	PO4704	FL
6	213ES0103X	Foot & Ankle Surgery Podiatrist	PO4704	FL

General Provider Information

NPI Number	:	1629713649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAYLAH JAVED DPM

Provider Business Mailing Address
First Line	:	15690 BOEING CT
Second Line	:
City	:	WELLINGTON
State	:	FL
Zip	:	33414-8384
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6447 LAKE WORTH RD
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33463-3007
Country	:	US
Telephone Number	:	561-433-1700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2022
Last Update Date	:	11/07/2025

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Directions to “ LAYLAH JAVED DPM” Practice Location

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