ORLANDO FOOT AND ANKLE CLINIC INC; NPI #1053420836

Contact Information

ORLANDO FOOT AND ANKLE CLINIC INC

1381 CITRUS TOWER BLVD
STE 103
CLERMONT, FL 34711

Phone: 352-243-7066
Fax: 352-243-7008
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for ORLANDO FOOT AND ANKLE CLINIC INC

NPI # 1053420836

LBN Legal business name ORLANDO FOOT AND ANKLE CLINIC INC

Authorized official GREGORY RENTON - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/29/2006

Last updated 08/18/2020 - About 6 years ago

Identifiers

FL	Medicaid	029602300
FL	Other	DB3528	R/R MEDICARE

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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