MEDICARE: PALM BEACH FOOT & ANKLE INC

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	P00002197	FL

General Provider Information

NPI Number	:	1952612707
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PALM BEACH FOOT & ANKLE INC

Provider Business Mailing Address
First Line	:	6609 W WOOLBRIGHT RD
Second Line	:	SUITE#418
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-0917
Country	:	US
Telephone Number	:	561-244-4980
Fax Number	:	561-244-4979

Provider Business Practice Location Address
First Line	:	6609 W WOOLBRIGHT RD
Second Line	:	SUITE#418
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-0917
Country	:	US
Telephone Number	:	561-244-4980
Fax Number	:	561-244-4979

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ALAN HARTSTEIN
Credential	:	D.P.M.
Telephone Number	:	561-949-7722

Provider Enumeration Date	:	06/27/2010
Last Update Date	:	07/23/2024

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