FLORIDA FOOT & ANKLE GROUP PA (NPI# 1508183732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508183732 |
| Entity Type | Organization |
| Organization Name | FLORIDA FOOT & ANKLE GROUP PA |
| Practice Address |
925 Williston Park Pt Suite 1009 Lake Mary FL 32746-2114 |
| Mailing Address |
522 S Hunt Club Blvd Ste 344 Apopka FL 32703-4960 |
| Practice Telephone | 4073232566 |
| Practice Fax Number | 4073243577 |
| Mailing Telephone | 4073232566 |
| Mailing Fax Number | 4073243577 |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2014-09-20 |
| Authorized Official Name | DR. WALTER E ROTH III (TREASURER) |
| Authorized Official Telephone | 4073232566 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023557204 | Florida Foot & Ankle Group Pa | Podiatrist | 178 Wilshire Blvd, Casselberry, FL 32707-5352 | 2017-02-21 |
| 1942227541 | Florida Foot & Ankle Group Pa | Durable Medical Equipment & Medical Supplies | 925 Williston Park Pt, Suite 1009, Lake Mary, FL 32746-2114 | 2006-07-17 |
| Street Address |
925 WILLISTON PARK PT SUITE 1009 |
| City | LAKE MARY |
| State | FL |
| Zip Code | 32746-2114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275501876 | Walter E Roth IIi | Podiatrist | 925 Williston Park Pt, Suite 1009, Lake Mary, FL 32746-2114 | 2006-03-09 |
| 1386981199 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 925 Williston Park Pt, Suite 1005, Lake Mary, FL 32746-2114 | 2013-01-14 |
| 1275830960 | Central Florida Ear, Nose and Throat Specialists, Pa | Specialist | 925 Williston Park Pt, 1001, Lake Mary, FL 32746-2114 | 2011-02-16 |
| 1942227541 | Florida Foot & Ankle Group Pa | Durable Medical Equipment & Medical Supplies | 925 Williston Park Pt, Suite 1009, Lake Mary, FL 32746-2114 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286397 | James Maggert | Physical Therapist | Sst Rehab, 635 Century Pt - Suite 111, Lake Mary, FL 32746 | 2020-05-14 |
| 1225663743 | Jamie Pecot | Behavior Technician | 300 International Parkway, 200, Lake Mary, FL 32746 | 2020-03-04 |
| 1619509585 | Dental Associates of Heathrow, LLC | Dentist | Dental Associates of Heathrow, LLC, 120 International Parkway Suite 26, Heathrow, FL 32746 | 2020-02-10 |
| 1376185876 | Rinehart Road Surgery Center, LLC | Clinic/Center | 392 Rinehart Road, Suite 1100, Lake Mary, FL 32746 | 2019-10-16 |
| 1871140988 | Central Florida Wellness LLC | General Practice | 1061 S Sun Drove, Suite 1041, Lake. Mary, FL 32746 | 2019-08-22 |
| 1326609942 | Antoine Slade I | Behavior Technician | 4876 Rhinehart Road, Lake Mary, FL 32746 | 2019-06-25 |
| 1245891209 | Ohri, LLC | Clinic/Center | 392 Rinehart Rd., Suite 1300, Lake Mary, FL 32746 | 2019-06-21 |
| 1336610856 | Olivia Laurel Stolz | Physician Assistant | 3300 West Lake Mary Blvd, 220, Lake Mary, FL 32746 | 2018-12-10 |
| 1881171072 | Elite-star Medical Transport LLC. | Non-emergency Medical Transport (VAN) | 2910 W Lake Mary Blvd Ste 101, Lake Mary, FL 32746 | 2018-07-20 |
| 1508351537 | Ariagny Elena Fereira | Speech-Language Pathologist | 145 Middle Street Suite 1101, Lake Mary, FL 32746 | 2018-06-22 |
| Find all providers in zip 32746 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114003274 | Orlando Foot and Ankle Clinic, Inc | Podiatrist | 1307 S International Pkwy Ste 1061, Lake Mary, FL 32746-1412 | 2006-10-31 |
| 1275501876 | Walter E Roth IIi | Podiatrist | 925 Williston Park Pt, Suite 1009, Lake Mary, FL 32746-2114 | 2006-03-09 |
| 1568430163 | Cindy M Watson | Podiatrist | 925 Williston Park Point, Suite 1009, Lake Mary, FL 32746-2114 | 2006-03-09 |
| 1710979554 | Christopher C Mason | Podiatrist | 4106 W Lake Mary Blvd, 125, Lake Mary, FL 32746-3315 | 2005-08-18 |
| 1881204238 | Upperline Healthcare, PC | Podiatrist | 1307 S International Pkwy Ste 1061, Lake Mary, FL 32746-1412 | 2020-07-31 |
| 1871037267 | Pascarella, Hoover, Finkelstein & Wagner, Dpm Pa | Podiatrist | 1307 S International Pkwy, Suite 1061, Lake Mary, FL 32746-1413 | 2016-12-05 |
| 1013340025 | Jacob Bartoszek | Podiatrist | 917 Rinehart Rd, Suite 1051, Lake Mary, FL 32746-4802 | 2013-08-13 |
| 1932445566 | Paul Brian Thurston | Podiatrist | 1307 S International Pkwy Ste 1061, Lake Mary, FL 32746-1412 | 2013-01-01 |
| 1992944342 | Jefferson Mennuti | Podiatrist | 1319 S International Pkwy, Sute 1161, Lake Mary, FL 32746-1408 | 2009-02-09 |
| 1033296173 | Institute for Foot and Ankle Surgery | Podiatrist | 917 Rinehart Rd, Suite 2061, Lake Mary, FL 32746-4802 | 2006-11-01 |
| Find all providers in LAKE MARY | ||||
Please comment or provide details below to improve the information on FLORIDA FOOT & ANKLE GROUP PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.