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Contact Information

IHN PODIATRY SERVICES PLLC
5304 S FLORIDA AVE STE 408
LAKELAND, FL33813-2519
 Phone: 863-738-6601
 Fax: 863-937-3002
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Primary Podiatric Medicine

213EP1101X 48 Podiatry
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Wound Care

163WW0000X
Indicates primary specialty

NPI Profile & details for IHN PODIATRY SERVICES PLLC

NPI # 1073231353
LBN Legal business name IHN PODIATRY SERVICES PLLC
Authorized official GLORIED EBSWORTH - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/22/2022
Last updated 03/24/2026 - About 2 months ago
Identifiers
FL Medicaid 116891200
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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