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Contact Information

LAKE FOOT CLINIC INC
629 S GROVE ST
EUSTIS, FL32726
 Phone: 352-589-1335
 Fax: 352-589-1336
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for LAKE FOOT CLINIC INC

NPI Number 1306015748
LBN Legal business name LAKE FOOT CLINIC INC
Authorized official JAMES ROTELLA - (PRESIDENT OWNER OF LAKE FOOT CLINIC)
Entity Organization
Organization subpart 1 No
Enumeration date 02/29/2008
Last updated 11/12/2008 - About 18 years ago
Identifiers
FL License # PO1193
FL Other K8096 MEDICARE GROUP NUMBER
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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