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Contact Information

ACTIVE FOOT CARE, INC.
2563 HUNTCLIFF LANE
PANAMA CITY, FL32405-4902
 Phone: 850-769-1055
 Fax: 850-769-1434
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ACTIVE FOOT CARE, INC.

NPI Number 1861665770
LBN Legal business name ACTIVE FOOT CARE, INC.
Authorized official JALAL SIDANI - (PODIATRIST)
Entity Organization
Organization subpart 1 Yes
Enumeration date 04/11/2008
Last updated 03/07/2013 - About 13 years ago
Identifiers
FL License # P02326
FL Medicaid 390159900
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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