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Contact Information

FOOT & ANKLE CENTER OF SOUTHERN MAINE
75 PORTLAND RD
KENNEBUNK, ME04043-6602
 Phone: 207-985-9888
 Fax: 207-985-3488
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for FOOT & ANKLE CENTER OF SOUTHERN MAINE

NPI Number 1184775447
LBN Legal business name FOOT & ANKLE CENTER OF SOUTHERN MAINE
Authorized official DAVID MICCA - (OWNER AND PROVIDER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/15/2007
Last updated 04/10/2008 - About 18 years ago
Identifiers n/a
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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