GUARDIAN ANGEL FOOT CARE OF BRADENTON VENICE AND ENGLEWOOD INC (NPI# 1629259429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629259429 |
| Entity Type | Organization |
| Organization Name | GUARDIAN ANGEL FOOT CARE OF BRADENTON VENICE AND ENGLEWOOD INC |
| Practice Address |
2400 S Mccall Rd Ste F Englewood FL 34224-5136 |
| Practice Telephone | 9414733338 |
| Mailing Telephone | 9414733338 |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2008-04-22 |
| Authorized Official Name | HERBERT T LANE (PRESIDENT) |
| Authorized Official Telephone | 9414733338 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
Ambulatory Health Care Facilities |
| Street Address |
2400 S MCCALL RD STE F |
| City | ENGLEWOOD |
| State | FL |
| Zip Code | 34224-5136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609373471 | Tammy A Usher | Counselor | 7069 Peacock Ln, Englewood, FL 34224 | 2018-04-09 |
| 1265935720 | Philip Harold Case | Technician, Other | 8591 Lakeside Dr., Englewood, FL 34224 | 2018-03-12 |
| 1851453278 | Herbert Tommy Lane | Podiatrist | 2400 South Mccall Rd, Suite F, Englewood, FL 34224 | 2006-12-14 |
| 1518521327 | Ashley Nicole Schmittendorf | Behavior Technician | 8591 Lakeside Dr, Englewood, FL 34224 | 2019-04-26 |
| 1336625110 | Monica Sosa | Technician, Other | 8591 Lakeside Dr, Englewood, FL 34224 | 2018-07-16 |
| 1811164288 | Bybiana Obrar Tagle | Physical Therapist | 1820 Meadowlark Ln, Englewood, FL 34224 | 2008-05-14 |
| 1114044831 | Beacon Respiratory Services Inc | Durable Medical Equipment & Medical Supplies | 2828 S Mccall Rd, Suite 26, Englewood, FL 34224 | 2007-03-26 |
| 1508925918 | Fashions for Health | Prosthetic/Orthotic Supplier | 2828 S Mccall Rd, Ste 26, Englewood, FL 34224 | 2006-12-08 |
| 1699729616 | Tiffany Square Family Practice P A | Family Medicine | 2828 S Mccall Rd, Ste 21, Englewood, FL 34224 | 2006-05-22 |
| 1801280532 | Rod Chandler Fuller | Pharmacist | 4100 Mccall Rd, Englewood, FL 34224-2933 | 2015-03-19 |
| Find all providers in zip 34224 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437160587 | Emergency Footcare, PC | Clinic/Center | 601 E Hampden Ave Ste 410, Englewood, CO 80113-2770 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245864487 | Aeshya LLC | Clinic/Center | 6730 22nd Ave N Ste D, Saint Petersburg, FL 33710-3903 | 2020-02-26 |
| 1164997391 | Ankle & Foot Center of Tampa Bay | Clinic/Center | 4207 59th St W, Bradenton, FL 34209-6663 | 2018-10-03 |
| 1124593355 | Ankle & Foot Center of Tampa Bay | Clinic/Center | 2039 Little Rd Ste B, Trinity, FL 34655-4421 | 2018-10-03 |
| 1649745886 | Ankle & Foot Center of Tampa Bay | Clinic/Center | 801 S Florida Ave Ste 1, Lakeland, FL 33801-5242 | 2018-10-03 |
| 1922535830 | Jemaar Graham Dpm Pa | Clinic/Center | 12839 Grand Bank Ln, Orlando, FL 32825-2737 | 2017-05-23 |
| 1306398839 | Modern Podiatry, Pa | Clinic/Center | 1151 Miranda Ln, Kissimmee, FL 34741-0763 | 2016-11-01 |
| 1346625522 | J&e Jackson Enterprises, Pllc | Clinic/Center | 1677 Eagle Harbor Pkwy # C, Fleming Island, FL 32003-4802 | 2015-07-29 |
| 1598023624 | Giselle Ojeda Dpm Pa | Clinic/Center | 6039 Collins Ave, 311, Miami Beach, FL 33140-2203 | 2012-04-26 |
| 1720363724 | J.m. Rehabilitation Center Corp | Clinic/Center | 10300 Sw 72nd St Ste 157, Miami, FL 33173-3038 | 2011-10-21 |
| 1598941411 | Steven James Pangborn Dpm Pa | Clinic/Center | 4879 Coconut Creek Pkwy, Coconut Creek, FL 33063-3944 | 2008-01-10 |
| Find all providers with the same taxonomy | ||||
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| 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.